RADHIKA PATHALAPATI MD
NPI 1154498699
Internal Medicine - Nephrology in Langhorne, PA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
402 MIDDLETOWN BLVD STE 214, LANGHORNE, PA 19047(215) 860-3520(215) 750-1660 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radhika Pathalapati Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADHIKA PATHALAPATI MD (NPI 1154498699) is an individual nephrology provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD430411) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Lower Bucks Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1154498699
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameRADHIKA PATHALAPATICredential: MD
Location Address402 MIDDLETOWN BLVD STE 214Langhorne, PA 19047-1818
Mailing Address402 Middletown Blvd Ste 214Langhorne, PA 19047-1818 · (215) 860-3520 · Fax (215) 750-1660
Fax(215) 750-1660
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 22, 2017
NPI 1154498699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in PA · MD430411 Licensed in NJ · 25MA07560700
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07560700 (NJ), MD430411 (PA)
402 MIDDLETOWN BLVD STE 214, Langhorne, PA 19047

Other Identifiers 5

Medicare UPINH99754PA
Medicaid1021654410002PA
Medicare PIN107449V3LPA
Medicaid0185582NJ
Medicaid1021654410001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Radhika Pathalapati Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850281007
PECOS Enrollment IDI20070306000579, I20180621001647
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,115 services131 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
784 services151 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
768 services98 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
620 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
508 services300 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
392 services102 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lower Bucks Hospital

Acute Care Hospitals · Bristol, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390070
Location501 Bath RoadBristol, PA 19007 · Bucks County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims885 services$0.32 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$18.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
402 MIDDLETOWN BLVD STE 214
LANGHORNE, PA 19047
Internal Medicine (Nephrology)
402 MIDDLETOWN BLVD STE 214
LANGHORNE, PA 19047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radhika Pathalapati's NPI number?

The NPI number for Radhika Pathalapati is 1154498699. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Radhika Pathalapati located?

Radhika Pathalapati practices at 402 Middletown Blvd Ste 214, Langhorne, PA 19047. The listed phone number is (215) 860-3520.

What is Radhika Pathalapati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Radhika Pathalapati enrolled in Medicare?

Yes. Radhika Pathalapati is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Radhika Pathalapati affiliated with any hospitals?

According to CMS data, Radhika Pathalapati is affiliated with Lower Bucks Hospital, Hospital Of Univ Of Pennsylvania, Jefferson Health- Northeast and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Radhika Pathalapati was last updated on November 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.