Active NPI
Pramod K Pabbathi, D.O.
- Anesthesiology Physician
- Somerset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB08806800
- Practice address
- 285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153 - Phone
- (732) 217-1400
- Fax
- (732) 271-3544
- NPI assigned
- Aug 23, 2006
- Last updated
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB08806800 | NJ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MB08806800 | NJ | |
| Pediatric Anesthesiology Physician | 207LP3000X | 25MB08806800 | NJ |
Addresses
Primary practice location
285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153
Mailing address
285 Davidson Ave
Suite 204
Somerset, NJ 08873-4153
Phone (732) 217-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0376272 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of New England, College of Osteo Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 300-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB08806800 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevated Anesthesia Solutions | Anesthesiology | Current | Accepting new patients |
| Sanjay D Rao MD LLC | Past | Accepting new patients |
Locations
1121 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4109
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
Interoperability endpoints
- ppabbathi53715@epicdirect.rwjbh.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.
-
- Anesthesiology Physician
- Flemington, NJ
- NPI 1487430633
-
- Specialist
- Flemington, NJ
- NPI 1619200748
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flemington, NJ
- NPI 1922095116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1770690158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 DAVIDSON AVE",
"address_2": "SUITE 204",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734153",
"telephone_number": "732-217-1400",
"fax_number": "732-271-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 DAVIDSON AVE",
"address_2": "SUITE 204",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734153",
"telephone_number": "732-217-1400",
"fax_number": "732-271-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABBATHI",
"first_name": "PRAMOD",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB08806800",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "MB08806800",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NJ",
"license": "25MB08806800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0376272",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.