NPIMap

Individual provider Active NPI

Rajbabu Krishnamoorthy, MD

  • Urology Physician
  • Allentown, PA
National Provider Identifier
1972955565
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD457683 Issued in PA
Practice address
1250 S Cedar Crest Blvd Ste 215
Allentown, PA 18103-6271
Phone
(610) 402-6986
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD457683 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd Ste 215
Allentown, PA 18103-6271

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other practice location 1

1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 887-2845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20160929001830 PA Practitioner - Urology 1254628597 Reassigns benefits to 3 organizations
I20170109000947 NY Practitioner - Urology 1254628597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

1705 Warren Ave
206 Susquehanna Health Urology
Williamsport, PA 17701-2664
Phone (570) 326-8090

3344 Chambers Rd
Horseheads, NY 14845-1403
Phone (607) 795-5100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457683PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Apr 1, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 22, 2024 Accepting new patients
Susquehanna Physician Services Urology CurrentSince Apr 1, 2026 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 22, 2024 Accepting new patients
Hazleton Professional Services CurrentSince Nov 18, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 18, 2023 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 215
Allentown, PA 18103
Phone (610) 402-6986

2100 Mack Blvd
Fl 4
Allentown, PA 18103

50 Moisey Dr
Ste 210
Hazle Township, PA 18202
Phone (570) 501-6380

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1705 Warren Ave
Ste 206
Williamsport, PA 17701
Phone (570) 326-8090

Interoperability endpoints

  • Direct secure messaging: krajbabu90306@direct-guthrie.org

Organizations & group practices 10

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1972955565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD STE 215",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036271",
            "telephone_number": "610-402-6986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-887-2845",
            "fax_number": "570-887-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAMOORTHY",
        "first_name": "RAJBABU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD457683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.