DR. PRASHANTH R RAMACHANDRA
NPI 1477537876
Surgery in Darby, PA

Q: What is Prashanth Ramachandra's NPI number?

The NPI number for Prashanth Ramachandra is 1477537876. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Prashanth Ramachandra's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment

1501 LANSDOWNE AVE, SUITE 307, DARBY, PA 19023(610) 534-6170(610) 534-6159 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Prashanth R Ramachandra NPPES

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

DR. PRASHANTH R RAMACHANDRA (NPI 1477537876) is an individual surgery provider in Darby, Pennsylvania, licensed in Pennsylvania (MD422173) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1477537876

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PRASHANTH R RAMACHANDRA

Location Address1501 LANSDOWNE AVE, SUITE 307Darby, PA 19023-1333

Mailing Address41 University Dr Ste 106Newtown, PA 18940-1873

Phone(610) 534-6170

Fax(610) 534-6159

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateNovember 30, 2005

Last NPPES UpdateMay 20, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1477537876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD422173

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1501 LANSDOWNE AVE, Darby, PA 19023

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Other Identifiers 1

Medicaid1009133790003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Prashanth R Ramachandra 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 ID4688602337

PECOS Enrollment IDI20050803000108

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 12

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

66 services37 patients

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.

33 services21 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services31 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.

31 services29 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.

28 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services22 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.

23 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services15 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.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services18 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390156

Location1500 Lansdowne AveDarby, PA 19023 · Delaware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 20

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

ALI S AHMADINEJAD MD

Surgery

1501 LANSDOWNE AVE, SUITE 207
DARBY, PA 19023

Delaware County (610) 534-6210

DOUGLAS L. KEAGLE D.O. P.C.

Internal Medicine

1501 LANSDOWNE AVE, SUITE 101
DARBY, PA 19023

Delaware County (610) 534-6310

DR. ANDREW W MCGINNIS MD

Internal Medicine (Cardiovascular Disease)

1501 LANSDOWNE AVE, SUITE 104
DARBY, PA 19023

Delaware County (610) 534-6150

MERCY MANAGEMENT OF SEPA

Internal Medicine

1501 LANSDOWNE AVE, SUITE 101
DARBY, PA 19023

Delaware County (610) 534-6310

ALI S AHMADINEJAD MD

Surgery

1501 LANSDOWNE AVE, SIUTE 207
DARBY, PA 19023

Delaware County (610) 534-6210

NUTRITIONAL CARE CONSULTANTS, PC

Internal Medicine

1501 LANSDOWNE AVE, SUITE 108
DARBY, PA 19023

Delaware County (610) 534-6357

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Surgery

1501 LANSDOWNE AVE, SUITE 305
DARBY, PA 19023

Delaware County (610) 534-6170

RICHARD A SEIFERT MD PC

Internal Medicine (Cardiovascular Disease)

1501 LANSDOWNE AVE, SUITE 303
DARBY, PA 19023

Delaware County (610) 586-5018

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 Prashanth Ramachandra's NPI number?

The NPI number for Prashanth Ramachandra is 1477537876. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Prashanth Ramachandra located?

Prashanth Ramachandra practices at 1501 Lansdowne Ave Suite 307, Darby, PA 19023. The listed phone number is (610) 534-6170.

What is Prashanth Ramachandra's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Prashanth Ramachandra enrolled in Medicare?

Yes. Prashanth Ramachandra 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 Prashanth Ramachandra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prashanth Ramachandra 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 Prashanth Ramachandra affiliated with any hospitals?

According to CMS data, Prashanth Ramachandra is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald.

When was this NPI record last updated?

The NPPES record for Prashanth Ramachandra was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.