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DR. AJAY CHAKRAVARTHY KANAKAMEDALA MD
NPI 1477040616
Orthopaedic Surgery - Sports Medicine in Easton, PA

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
250 S 21ST ST, EASTON, PA 18042(484) 526-1735 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2023, Apr 13, 2018 (2 updates tracked since 2018).

About Dr. Ajay Chakravarthy Kanakamedala Md NPPES

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

DR. AJAY CHAKRAVARTHY KANAKAMEDALA MD (NPI 1477040616) is an individual sports medicine provider in Easton, Pennsylvania, licensed in Pennsylvania (MD485258) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1477040616
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. AJAY CHAKRAVARTHY KANAKAMEDALACredential: MD
Location Address250 S 21ST STEaston, PA 18042-3851
Mailing Address250 S 21st StEaston, PA 18042-3851 · (484) 526-1735
Phone(484) 526-1735
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateApril 13, 2018
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1477040616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in PA · MD485258
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
250 S 21ST ST, Easton, PA 18042
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ajay Chakravarthy Kanakamedala 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 ID9739427147
PECOS Enrollment IDI20240815002536, I20240821001575
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ajay Kanakamedala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
0.3 mi
Internal Medicine
1905 HAY TERRACE
Easton, PA 18042
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1992263909 (610) 258-6567
St. Luke's Warren Physician Group, PC
3.4 mi
Colon & Rectal Surgery
123 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1043635733 (610) 866-2600
Gslpg, Inc
45 mi
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group
NPI 1366006702 (272) 639-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
40 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
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 Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

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 Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

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.

DR. JYOTHI B KUDAKANDIRA M.D
Internal Medicine
250 S 21ST ST
EASTON, PA 18042
Northampton County (484) 526-6643
ST. LUKE'S HOSPITAL - ANDERSON CAMPUS
Psychiatric Unit
250 S 21ST ST
EASTON, PA 18042
Northampton County (484) 526-4000
GUISHU FANG CRNA
Nurse Anesthetist, Certified Registered
250 S 21ST ST
EASTON, PA 18042
Northampton County (610) 250-4303
DR. SCOTT IRA WINIKOFF M.D.
Anesthesiology
250 S 21ST ST
EASTON, PA 18042
Northampton County (610) 250-4303
DR. AMY RENEE RAGHAVAN MD
Emergency Medicine
250 S 21ST ST
EASTON, PA 18042
Northampton County (866) 785-8537
ST. LUKE'S HOSPITAL- EASTON CAMPUS
General Acute Care Hospital
250 S 21ST ST
EASTON, PA 18042
Northampton County (610) 250-4000
FRANCISCO BENAVIDES M.D.
Surgery
250 S 21ST ST
EASTON, PA 18042
Northampton County (610) 250-4375
KENNETH KRAMER M.D.
Radiology (Diagnostic Radiology)
250 S 21ST ST, DEPARTMENT OF RADIOLOGY
EASTON, PA 18042
Northampton County (610) 250-4592

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 Ajay Kanakamedala's NPI number?

The NPI number for Ajay Kanakamedala is 1477040616. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Ajay Kanakamedala located?

Ajay Kanakamedala practices at 250 S 21st St, Easton, PA 18042. The listed phone number is (484) 526-1735.

What is Ajay Kanakamedala's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Ajay Kanakamedala enrolled in Medicare?

Yes. Ajay Kanakamedala 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.

Which organizations bill Medicare for Ajay Kanakamedala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Kanakamedala reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Easton, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Gslpg, Inc (Orwigsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ajay Kanakamedala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ajay Kanakamedala affiliated with any hospitals?

According to CMS data, Ajay Kanakamedala is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Ajay Kanakamedala was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.