Prafulchadra K Tilva, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD019302E Issued in PA

Practice address

350 N 11TH St
Sunbury, PA 17801-1611

Phone

(570) 286-3470

Fax

(570) 286-3397

NPI assigned

Nov 21, 2005

Last updated

Oct 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• FRG Central PA PC

  • Diagnostic Radiology Physician
  • Coudersport, PA
  • NPI 1487805693
  NPD (past)
• Physicians Imaging Associates, PC

  • Diagnostic Radiology Physician
  • Bloomsburg, PA
  • NPI 1013917699
  NPD (past)
• Radiological Assoc of Sunbury

  • Diagnostic Radiology Physician
  • Sunbury, PA
  • NPI 1174546352
  NPD (past)
• Amerirad Inc

  • Diagnostic Radiology Physician
  • Morgantown, WV
  • NPI 1790739985
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1003899469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THREE GATEWAY CENTER, 20TH FLOOR",
            "address_2": "401 LIBERTY AVENUE, SUITE 2000",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-223-2272",
            "fax_number": "412-281-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N 11TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011611",
            "telephone_number": "570-286-3470",
            "fax_number": "570-286-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILVA",
        "first_name": "PRAFULCHADRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD019302E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009545200004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00427548",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009545200008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009545200001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0104798",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susquehanna Valley United Way
• Fred Teichman, MD
• The Greater Susquehanna Valley Young Men's Christian Association
• The Meadows at Sunbury for Nursing and Rehabilitation LLC (Nursing and Rehabilitation at the Mansion)
• Kenneth Fred Thomas Jr., DPT
• Brian Daniel Timms, D.O.
• TNT Health Services, LLC
• Tiara Ulrich
• Universal Medical Suppliers, Inc (Medical Center Pharmacy)
• Upmc Susquehanna Sunbury (Sunbury Community Hospital)

• Diagnostic Radiology Physician in Sunbury, PA
• Providers in Sunbury, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.