Individual provider Active NPI

Prashanth R Ramachandra

  • Surgery Physician
  • Darby, PA
National Provider Identifier
1477537876
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD422173 Issued in PA
Practice address
1501 Lansdowne Ave
Suite 307
Darby, PA 19023-1333
Phone
(610) 534-6170
Fax
(610) 534-6159
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD422173 PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave
Suite 307
Darby, PA 19023-1333

Mailing address

41 University Dr Ste 106
Newtown, PA 18940-1873

Other identifiers 1

IdentifierTypeStateIssuer
1009133790003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prashanth.ramachandra.1@16196.direct.athenahealth.com Direct Mercy Management of Southeastern Pennsylvania

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000108 PA Practitioner - General Surgery 4688602337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4701

1501 Lansdowne Ave
Darby, PA 19023-1333

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD422173PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Current Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Past Accepting new patients
Einstein Practice Plan Inc Surgery Past Accepting new patients
Mercy Catholic Medical Center of Southeastern PA Past Accepting new patients

Locations

1 W Elm St
Fl 2
Conshohocken, PA 19428
Phone (610) 567-6964

1501 Lansdowne Ave
Ste 305
Darby, PA 19023
Phone (484) 494-6073

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

41 University Dr
Ste 106
Newtown, PA 18940
Phone (610) 772-6889

2701 DeKalb Pike
Ste 203
Norristown, PA 19401
Phone (610) 534-6270

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2821 Island Ave
Ste 204
Philadelphia, PA 19153
Phone (215) 863-6110

2701 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 331-8897

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

501 S 54th St
#P
Philadelphia, PA 19143
Phone (215) 748-9707

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

5735 Ridge Ave
Ste 104
Philadelphia, PA 19128
Phone (215) 483-6182

1001 Baltimore Pike
Ste 14LL
Springfield, PA 19064
Phone (610) 237-4104

1001 Baltimore Pike
Ste 109
Springfield, PA 19064
Phone (610) 534-6230

Interoperability endpoints

  • Direct secure messaging: pramachandra2119565@direct.trinity-health.org

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1477537876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 106",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 307",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6170",
            "fax_number": "610-534-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMACHANDRA",
        "first_name": "PRASHANTH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD422173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009133790003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prashanth.ramachandra.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Mercy Management of Southeastern Pennsylvania Direct Email Address",
            "affiliationName": "Mercy Management of Southeastern Pennsylvania",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1501 Lansdowne Ave",
            "address_2": "Suite 307",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190231333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.