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RAMYA RAGHUPATHI M.D
NPI 1720334113
Psychiatry & Neurology - Epilepsy in Philadelphia, PA

Active since August 03, 2012PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1800 LOMBARD STREET, PHILADELPHIA, PA 19146(215) 662-7810(215) 615-4695 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Nov 25, 2025, Sep 19, 2024 and 1 more (4 updates tracked since 2019).

About Ramya Raghupathi M.d NPPES

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

RAMYA RAGHUPATHI M.D (NPI 1720334113) is an individual epilepsy provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD459526) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1720334113
Entity TypeIndividualFemale
Primary Taxonomy2084E0001X
Provider Legal NameRAMYA RAGHUPATHICredential: M.D
Location Address1800 LOMBARD STREETPhiladelphia, PA 19146-1414
Mailing Address1800 Lombard Street, 2 RavdinPhiladelphia, PA 19146-1414 · (215) 662-7810 · Fax (215) 615-4695
Phone(215) 662-7810
Fax(215) 615-4695
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 3, 2012
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1720334113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in PA · MD459526
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
1800 LOMBARD STREET, Philadelphia, PA 19146
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Secondary Practice Location 1

Location 13400 Spruce St, 2 RavdinPhiladelphia, PA 19104-4238 · Phone (215) 662-3606 · Fax (215) 349-5579

Other Identifiers 1

OtherMT202710PA · Commonwealth Of Pennsylvania, Dept. Of State-pa State License Number

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ramya Raghupathi 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 ID1254687924
PECOS Enrollment IDI20190603000040
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

2

Medicare enrollment records show Ramya Raghupathi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lancaster General Medical Group
Same address
Family Medicine
1800 LOMBARD ST STE 206
Philadelphia, PA 19146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1154883171 (215) 615-2222
University Of Penn-Medical Group
Same address
Physical Medicine & Rehabilitation
1800 LOMBARD ST, GROUND FLOOR
Philadelphia, PA 19146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1760870893 (215) 893-2600

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 6

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
112 services57 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
40 services38 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
31 services30 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.
21 services20 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.
16 services13 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

PATRICIA ORME
Physical Medicine & Rehabilitation
1800 LOMBARD STREET, GROUND FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (916) 871-9639
HASAN DANIEL ENTWISTLE MD
Physical Medicine & Rehabilitation
1800 LOMBARD STREET, GROUND FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (215) 893-2600
YEJIA ZHANG MD
Physical Medicine & Rehabilitation
1800 LOMBARD STREET, 1ST FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (215) 662-3259
DR. ADISON WESELOH M.D.
Physical Medicine & Rehabilitation
1800 LOMBARD STREET, GROUND FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (215) 893-2600
SOUTHEAST PENNSYLVANIA EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1800 LOMBARD STREET, EMERGENCY DEPARTMENT
PHILADELPHIA, PA 19146
Philadelphia County (215) 893-2000
DAHOMEY ABANISHE PH.D.
Psychologist
1800 LOMBARD STREET, GROUND FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (215) 893-2600
MICHAEL GAVINO DECAPUA MD
Physical Medicine & Rehabilitation
1800 LOMBARD STREET, GROUND FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (215) 893-2600
MARK B WENNEKER DO
Physical Medicine & Rehabilitation
1800 LOMBARD STREET, 1ST FLOOR
PHILADELPHIA, PA 19146
Philadelphia County (215) 893-2645

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 Ramya Raghupathi's NPI number?

The NPI number for Ramya Raghupathi is 1720334113. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Ramya Raghupathi located?

Ramya Raghupathi practices at 1800 Lombard Street, Philadelphia, PA 19146. The listed phone number is (215) 662-7810.

What is Ramya Raghupathi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Ramya Raghupathi enrolled in Medicare?

Yes. Ramya Raghupathi 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 Ramya Raghupathi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramya Raghupathi reassigns Medicare benefits to 2 organizations: Lancaster General Medical Group (Philadelphia, PA) and University Of Penn-Medical Group (Philadelphia, 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 Ramya Raghupathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramya Raghupathi accept?

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

According to CMS data, Ramya Raghupathi is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Main Line Hospital Lankenau, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Ramya Raghupathi was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.