SARANYA BIRDSALL CRNP
NPI 1265855670
Nurse Practitioner - Family in Lehighton, PA

Active since January 22, 2014PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
211 N 12TH ST, LEHIGHTON, PA 18235(610) 377-7174(610) 377-4785 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2018, Mar 2, 2017, Jan 24, 2017 (3 updates tracked since 2017).

About Saranya Birdsall Crnp NPPES

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

SARANYA BIRDSALL CRNP (NPI 1265855670) is an individual family provider in Lehighton, Pennsylvania, licensed in Pennsylvania (SP013427) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265855670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARANYA BIRDSALLCredential: CRNP
Location Address211 N 12TH STLehighton, PA 18235-1138
Mailing Address211 N 12th StLehighton, PA 18235-1138 · (610) 377-7174 · Fax (610) 377-4785
Fax(610) 377-4785
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 22, 2014
Last NPPES UpdateJanuary 9, 20183 updates tracked since enumeration
NPI 1265855670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP013427
211 N 12TH ST, Lehighton, PA 18235

Other Names 1

Former Name (1)Saranya Phadungchevite Crnp

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

Saranya Birdsall Crnp 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 ID6800118647
PECOS Enrollment IDI20141204001597
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
437 services184 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
131 services118 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
87 services84 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18235 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers42 claims51 services$13.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers43 claims43 services$60.76 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 20

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

Internal Medicine
211 N 12TH ST
LEHIGHTON, PA 18235
General Acute Care Hospital
211 N 12TH ST
LEHIGHTON, PA 18235
General Acute Care Hospital
211 N 12TH ST
LEHIGHTON, PA 18235
Family Medicine
211 N 12TH ST
LEHIGHTON, PA 18235
General Acute Care Hospital
211 N 12TH ST
LEHIGHTON, PA 18235
Dentist
211 N 12TH ST, ATTENTION DENTAL DEPARTMENT
LEHIGHTON, PA 18235
Psychiatry & Neurology (Psychiatry)
211 N 12TH ST
LEHIGHTON, PA 18235
Psychiatry & Neurology (Psychiatry)
211 N 12TH ST
LEHIGHTON, PA 18235

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 Saranya Birdsall's NPI number?

The NPI number for Saranya Birdsall is 1265855670. It was assigned to this individual provider in the NPPES registry on January 22, 2014. The provider is also known as Saranya Phadungchevite Crnp.

Where is Saranya Birdsall located?

Saranya Birdsall practices at 211 N 12th St, Lehighton, PA 18235. The listed phone number is (610) 377-7174.

What is Saranya Birdsall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Saranya Birdsall enrolled in Medicare?

Yes. Saranya Birdsall 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 Saranya Birdsall affiliated with any hospitals?

According to CMS data, Saranya Birdsall is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Saranya Birdsall was last updated on January 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.