NPIMap

Individual provider Active NPI

Bhargavi Degapudi, MD

  • Nephrology Physician
  • Danville, PA
National Provider Identifier
1033384706
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD433841 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-6804
Phone
(570) 271-6393
Fax
(570) 271-5623
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08716000 NJ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 25MA08716000 NJ
Hospitalist Physician 208M00000X 25MA08716000 NJ
Nephrology Physician 207RN0300X MD433841 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-6804

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other identifiers 1

IdentifierTypeStateIssuer
0235423MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080702000018 PA Practitioner - NephrologyPractitioner - Internal Medicine 8527130822 Reassigns benefits to 1 organization
I20101026000327 NJ Practitioner - NephrologyPractitioner - Internal Medicine 8527130822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Specialty Medconsultants LLCGroup PAC ID 3072736677, 20 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

6725 Ventnor Ave
Suite C
Ventnor City, NJ 08406-2166
Phone (609) 350-6780

Hospital & facility affiliations

  • FMC Cape May Dialysis facility, Cape May Court House, NJ, CCN 312579
  • FMC North Cape May Dialysis facility, Cape May, NJ, CCN 312625
  • Patient Care Hospice Hospice, Egg Harbor Township, NJ, CCN 311516
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Hospitalist Current Accepting new patients
Geisinger Clinic CurrentSince Mar 20, 2023 Accepting new patients
Specialty Medconsultants LLC Nephrology CurrentSince Jan 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Mar 20, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Atlanticare Physician Group CurrentSince Jun 28, 2015 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jun 28, 2015 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: bdegapudi564539@direct.geisinger.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Patient Care HospiceEgg Harbor Township, NJ, CCN 311516 Hospice Contracted Managing Employee
Corporate Officer		 Jun 1, 2019
Jun 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • LHCG Cxliv, LLC
    • Community Based Hospice Care Agency
    • Egg Harbor Township, NJ
    • NPI 1720541071

    Contracted Managing Employee, Corporate Officer

    CMS ownership

Organizations & group practices 7

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

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1033384706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178226804",
            "telephone_number": "570-271-6393",
            "fax_number": "570-271-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAPUDI",
        "first_name": "BHARGAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08716000",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA08716000",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA08716000",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD433841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235423",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.