Individual provider Active NPI

Kapil Pruthi, DO

  • Family Medicine Physician
  • Mechanicsburg, PA
National Provider Identifier
1013356120
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018352 Issued in PA
Practice address
2140 Fisher Rd
Mechanicsburg, PA 17055-5122
Phone
(717) 766-1795
Fax
(717) 697-6575
NPI assigned
Jun 21, 2013
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018352 PA Primary

Addresses

Primary practice location

2140 Fisher Rd
Mechanicsburg, PA 17055-5122

Mailing address

2140 Fisher Rd
Mechanicsburg, PA 17055-5122
Phone (717) 766-1795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161114000101 PA Practitioner - Family Practice 7012296114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2140 Fisher Rd
Mechanicsburg, PA 17055-5122
Phone (717) 766-1795

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 2, 2020 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Nov 2, 2020 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Dubois Regional Medical Center Family Medicine PastSince Sep 13, 2013 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2140 Fisher Rd
Mechanicsburg, PA 17055
Phone (717) 207-4800

Interoperability endpoints

  • Direct secure messaging: kpruthi300044@upmc.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1013356120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 FISHER RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555122",
            "telephone_number": "717-766-1795",
            "fax_number": "717-697-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 FISHER RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555122",
            "telephone_number": "717-766-1795",
            "fax_number": "717-697-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUTHI",
        "first_name": "KAPIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.