NPIMap

Individual provider Active NPI

Venkatraman Thulasi

  • Clinical Neurophysiology Physician
  • Bethlehem, PA
National Provider Identifier
1669146411
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
MD485414 Issued in PA
Practice address
1417 8TH Ave
Bethlehem, PA 18018-2256
Phone
(484) 526-5210
NPI assigned
Aug 5, 2021
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X MD485414 PA Primary

Addresses

Primary practice location

1417 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

1417 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-5210

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vthulasi@njms.rutgers.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240913002554 PA Practitioner - Neurology 3173063310 Reassigns benefits to 2 organizations
I20241126002599 NJ Practitioner - Neurology 3173063310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers New Jersey Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

755 Memorial Pkwy
Suite 114
Phillipsburg, NJ 08865-2774
Phone (908) 847-4025

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485414PAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gslpg, Inc Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
St. Luke's Warren Physician Group, PC Multi-Specialty Current Accepting new patients
St. Luke's Warren Physician Group, PC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Multi-Specialty Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 1, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
St. Luke's Warren Physician Group, PC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Rutgers-NJMS Student in an Organized Health Care Education/Training Program Current Accepting new patients
St. Luke's Physician Group, Inc. Multi-Specialty Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

59 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 454-8600

755 Memorial Pkwy
Ste 114
Phillipsburg, NJ 08865
Phone (908) 387-6766

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Organizations & group practices 9

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 8

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1669146411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THULASI",
        "first_name": "VENKATRAMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2026-05-11",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD485414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vthulasi@njms.rutgers.edu",
            "affiliation": "N",
            "address_1": "9 Julia Way",
            "city": "Dayton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088101307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.