Active NPI
Ronson Joseph Madathil, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD474738
- Practice address
- 30 Monument Rd Ste 1100
York, PA 17403-5024 - Phone
- (717) 851-6454
- Fax
- (717) 851-1665
- NPI assigned
- Jul 2, 2007
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D85052 | MD | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | TMD005200 | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD474738 | PA | Primary |
Addresses
Primary practice location
30 Monument Rd Ste 1100
York, PA 17403-5024
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-6454
Other practice location 1
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-5842
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821295809 | Medicaid | WA | |
| 1821295809 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180619000026 | MD | Practitioner - Cardiac Surgery | 1759697170 | Reassigns benefits to 2 organizations |
| I20201118000311 | PA | Practitioner - Thoracic Surgery | 1759697170 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 812-2480
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Vna Home Care
- Wellspan York Hospital
- Gettysburg Hospital
- Wellspan Chambersburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D85052 | MD | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| MD474738 | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| University of Maryland Surgical Associates, PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| York Hospital | Past | Accepting new patients |
Locations
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103
12 St Paul Dr
Ste 204
Chambersburg, PA 17201
Phone (717) 217-6886
12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
1600 S George St
York, PA 17403
Phone (717) 848-3615
30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- rmadathil276251@wellspan.direct-ci.com
- rmadathil531513@direct.umm.edu
Organizations & group practices 15
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.
-
- Podiatrist
- Chambersburg, PA
- NPI 1033897228
-
- Pulmonary Disease Physician
- York, PA
- NPI 1073756672
-
- Podiatrist
- Greencastle, PA
- NPI 1336827526
-
- Podiatrist
- Fayetteville, PA
- NPI 1700567260
-
- Urology Physician
- Gettysburg, PA
- NPI 1790195576
-
- Neurology Physician
- York, PA
- NPI 1831251792
-
- Diagnostic Radiology Physician
- York, PA
- NPI 1952587727
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Chambersburg, PA
- NPI 1144035601
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- York, PA
- NPI 1437172301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1821295809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-6454",
"fax_number": "717-851-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT RD STE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174035024",
"telephone_number": "717-851-6454",
"fax_number": "717-851-1665"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-5842",
"fax_number": "410-706-6976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADATHIL",
"first_name": "RONSON",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MD",
"license": "D85052",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "TMD005200",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD474738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821295809",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821295809",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.