RAJBABU KRISHNAMOORTHY MD
NPI 1972955565
Urology in Allentown, PA

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
1250 S CEDAR CREST BLVD STE 215, ALLENTOWN, PA 18103(610) 402-6986 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rajbabu Krishnamoorthy Md NPPES

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

RAJBABU KRISHNAMOORTHY MD (NPI 1972955565) is an individual urology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD457683) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and maintains a secondary practice location in Sayre.

NPPES Registry Identity

NPI1972955565
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameRAJBABU KRISHNAMOORTHYCredential: MD
Location Address1250 S CEDAR CREST BLVD STE 215Allentown, PA 18103-6271
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 7, 2016
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1972955565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in PA · MD457683
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1250 S CEDAR CREST BLVD STE 215, Allentown, PA 18103

Secondary Practice Location 1

Location 11 Guthrie SqSayre, PA 18840-1625 · Phone (570) 887-2845 · Fax (570) 887-2011

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

Rajbabu Krishnamoorthy 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 ID1254628597
PECOS Enrollment IDI20160929001830, I20170109000947
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 18

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
312 services264 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.
287 services257 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
248 services224 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.
102 services102 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
64 services63 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.
51 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers25 claims2,580 services$1.53 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.

Urology
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Urology
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Urology
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Physician Assistant (Surgical)
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Physician Assistant (Surgical)
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Physician Assistant
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 215
ALLENTOWN, PA 18103

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 Rajbabu Krishnamoorthy's NPI number?

The NPI number for Rajbabu Krishnamoorthy is 1972955565. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Rajbabu Krishnamoorthy located?

Rajbabu Krishnamoorthy practices at 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 18103. The listed phone number is (610) 402-6986.

What is Rajbabu Krishnamoorthy's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Rajbabu Krishnamoorthy enrolled in Medicare?

Yes. Rajbabu Krishnamoorthy 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 Rajbabu Krishnamoorthy accept?

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

According to CMS data, Rajbabu Krishnamoorthy is affiliated with Guthrie Cortland Regional Medical Center, Corning Hospital, Robert Packer Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Rajbabu Krishnamoorthy was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.