Individual provider Active NPI

Aravindan Amuth, MD

  • Family Medicine Physician
  • Doylestown, PA
National Provider Identifier
1003862665
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD425395 Issued in PA
Practice address
14 Memorial Dr Ste B
Doylestown, PA 18901-3529
Phone
(215) 348-4914
NPI assigned
May 25, 2006
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101265180 VA
Family Medicine Physician 207Q00000X 2018-01263 NC
Family Medicine Physician 207Q00000X MD425395 PA Primary
Family Medicine Physician 207Q00000X C1-0007595 DE
Family Medicine Physician 207Q00000X ME90097 FL
Family Medicine Physician 207Q00000X 080351 GA
Family Medicine Physician 207Q00000X MD045867 DC
Family Medicine Physician 207Q00000X 51900 SC
Family Medicine Physician 207Q00000X 35.132974 OH

Addresses

Primary practice location

14 Memorial Dr Ste B
Doylestown, PA 18901-3529

Mailing address

14 Memorial Dr Ste B
Doylestown, PA 18901-3529
Phone (215) 348-4914

Other identifiers 1

IdentifierTypeStateIssuer
101536563MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN, MO, GA, TN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20051209000297 PA Practitioner - Family Practice 1254352974 Reassigns benefits to 1 organization
I20260529003284 IN Practitioner - Family Practice 1254352974 Reassigns benefits to 1 organization
I20260530000291 MO Practitioner - Family Practice 1254352974 Reassigns benefits to 1 organization
I20260604001828 GA Practitioner - Family Practice 1254352974 Reassigns benefits to 1 organization
I20260625002307 TN Practitioner - Family Practice 1254352974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone (800) 997-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0007595DEMDFamily Medicine Physician
ME90097FLMDFamily Medicine Physician
080351GAMDFamily Medicine Physician
2018-01263NCMDFamily Medicine Physician
35.132974OHMDFamily Medicine Physician
MD425395PAMDFamily Medicine Physician
0101265180VAMDFamily Medicine Physician
MD045867DCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Oct 14, 2020 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

251 Little Falls Dr
Wilmington, DE 19808
Phone (443) 347-4485

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

Interoperability endpoints

  • Direct secure messaging: aravindan.amuth.1@30520.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1003862665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MEMORIAL DR STE B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013529",
            "telephone_number": "215-348-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MEMORIAL DR STE B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013529",
            "telephone_number": "215-348-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUTH",
        "first_name": "ARAVINDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101265180",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-01263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD425395",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0007595",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90097",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "080351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD045867",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "51900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.132974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101536563",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.