Vasundhara S Kakodkar, M.D.

Primary specialty

Pediatric Clinical & Laboratory Immunology PhysicianTaxonomy code 2080I0007X

License

MD040255E Issued in PA

Practice address

1922 Hay Ter
Easton, PA 18042-4615

Phone

(610) 252-3042

Fax

(610) 253-0831

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Medical Center of Lehigh Valley, Inc.

  • Pediatric Adolescent Medicine Physician
  • Easton, PA
  • NPI 1073950234
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1972566099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 HAY TERRACE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424615",
            "telephone_number": "610-252-3042",
            "fax_number": "610-253-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 HAY TER",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424615",
            "telephone_number": "610-252-3042",
            "fax_number": "610-253-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKODKAR",
        "first_name": "VASUNDHARA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080I0007X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Clinical & Laboratory Immunology",
            "state": "PA",
            "license": "MD040255E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyfull Care Home Care, LLC
• Michelle Juarez
• David Kaelin
• Adrienne Kaiser
• Justin M Kaiser, CRNP
• Ajay Chakravarthy Kanakamedala, MD
• Arun M Kandra, M.D.
• Kevin James Kantor
• Robert J Kaplan, D.P.M.
• Gina Karabin

• Pediatrics Physician in Easton, PA
• Providers in Easton, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.