RADHIKA CHANDRAMOULI M.D.
NPI 1386099968
Family Medicine in Macungie, PA

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
6451 VILLAGE LN, MACUNGIE, PA 18062(610) 967-2772(610) 967-2599 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2019, Jun 23, 2019 (2 updates tracked since 2019).

About Radhika Chandramouli M.d. NPPES

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

RADHIKA CHANDRAMOULI M.D. (NPI 1386099968) is an individual family medicine provider in Macungie, Pennsylvania, licensed in Pennsylvania (MD466719) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Temple University School Of Medicine (2016).

NPPES Registry Identity

NPI1386099968
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRADHIKA CHANDRAMOULICredential: M.D.
Location Address6451 VILLAGE LNMacungie, PA 18062-8484
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 967-2599
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2016
Enumeration DateMay 2, 2016
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
NPI 1386099968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD466719
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6451 VILLAGE LN, Macungie, PA 18062

Accepted Insurance

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 Chandramouli M.d. 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 ID6406131135
PECOS Enrollment IDI20190911000958
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 3

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 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.
38 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18062 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.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
6451 VILLAGE LN
MACUNGIE, PA 18062
Optometrist
6451 VILLAGE LN, SUITE 200
MACUNGIE, PA 18062
Nurse Practitioner (Family)
6451 VILLAGE LN
MACUNGIE, PA 18062
Family Medicine
6451 VILLAGE LN
MACUNGIE, PA 18062
Social Worker (Clinical)
6451 VILLAGE LN
MACUNGIE, PA 18062
Family Medicine
6451 VILLAGE LN
MACUNGIE, PA 18062
Optometrist
6451 VILLAGE LN, SUITE 200
MACUNGIE, PA 18062
Physician Assistant (Medical)
6451 VILLAGE LN
MACUNGIE, PA 18062

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 Chandramouli's NPI number?

The NPI number for Radhika Chandramouli is 1386099968. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Radhika Chandramouli located?

Radhika Chandramouli practices at 6451 Village Ln, Macungie, PA 18062. The listed phone number is (610) 967-2772.

What is Radhika Chandramouli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Radhika Chandramouli enrolled in Medicare?

Yes. Radhika Chandramouli 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.

What insurance does Radhika Chandramouli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Radhika Chandramouli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Radhika Chandramouli affiliated with any hospitals?

According to CMS data, Radhika Chandramouli is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Radhika Chandramouli was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.