Kaushik Annam, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD495086 Issued in PA

Practice address

190 Brodhead Rd Ste 201
Bethlehem, PA 18017-8617

Phone

(610) 861-8977

NPI assigned

Jun 28, 2019

Last updated

Jul 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, IL2 enrollments

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 2

Specialty

Ophthalmology

Education

Warren Alpert Medical School of Brown University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Specialists of Illinois SCGroup PAC ID 0042118804, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kaushik.annam.p1@direct.eyespecialistsofil.nextgenshare.com

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.

• Eye Specialists of Illinois, S.C,

  • Ophthalmology Physician
  • Park Ridge, IL
  • NPI 1033169784
  Medicare reassignment Care Compare group NPD
• Regents of the University of Michigan

  • Ophthalmology Physician
  • Ann Arbor, MI
  • NPI 1568495299
  Medicare reassignment NPD
• Valley Eye Group, P.C.

  • Ophthalmology Physician
  • Fountain Hill, PA
  • NPI 1679075402
  NPD
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD
• Ridge Optical

  • Durable Medical Equipment & Medical Supplies
  • Park Ridge, IL
  • NPI 1376656686
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1518529650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD RD STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178617",
            "telephone_number": "610-861-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD RD STE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178617",
            "telephone_number": "610-861-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 N Northwest Hwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600683277",
            "country_code": "US",
            "telephone_number": "847-823-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNAM",
        "first_name": "KAUSHIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP04749",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD495086",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD495086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524399",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laine Angstadt
• Taylor Angstadt
• Mihir Hareshkumar Ankola
• Ann Kearney Astolfi, DMD PC
• Chaithanya Annaluru, DO
• Emmanuel Annor, M.D
• Onyinyech V Anosike, DO
• Stacy Lynn Answini, MS, OTR
• Anthony D Dipplolito MD PC
• Anthony Dippolito, M.D., P.C. (Valley Colon and Rectal Center)

• Ophthalmology Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.