NPIMap

Individual provider Active NPI

Ramesh K Adiraju

  • Vascular Surgery Physician
  • Bristol, PA
National Provider Identifier
1467415091
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD041172L Issued in PA
Practice address
501 Bath Rd
Bristol, PA 19007-3101
Phone
(215) 785-9578
Fax
(215) 785-9579
NPI assigned
Apr 6, 2006
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD041172L PA
Vascular Surgery Physician 2086S0129X MD041172L PA Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3101

Mailing address

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9578

Other identifiers 1

IdentifierTypeStateIssuer
0012297840005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000893 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear MedicinePractitioner - Peripheral Vascular Disease 7911924600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine, Peripheral Vascular Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9578

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041172LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renu Ca Research Institute PC CurrentSince Sep 19, 2005 Accepting new patients
Regional Cardiology Consultants, PC Cardiovascular Disease PastSince Feb 1, 2016 Accepting new patients

Locations

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

Interoperability endpoints

  • Direct secure messaging: radiraju2021321@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1467415091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9578",
            "fax_number": "215-785-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9578",
            "fax_number": "215-785-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIRAJU",
        "first_name": "RAMESH",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD041172L",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD041172L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012297840005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.