Individual provider Active NPI

Reena Kamath Pramanik, D.O.

  • Radiation Oncology Physician
  • York, PA
National Provider Identifier
1053479790
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
OS013848 Issued in PA
Practice address
35 Monument Rd
Suite 201
York, PA 17403-5074
Phone
(717) 812-3712
Fax
(717) 812-2244
NPI assigned
Dec 5, 2006
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X OS013848 PA Primary

Addresses

Primary practice location

35 Monument Rd
Suite 201
York, PA 17403-5074

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 741-8180

Other practice location 1

260 N 7th St
Chambersburg, PA 17201-1722
Phone (717) 262-4660

Other identifiers 9

IdentifierTypeStateIssuer
238779OtherPAUNISON-WMG
1560408OtherPAGATEWAY-WMG
50074892OtherPACAPITAL BLUE CROSS-WMG
919374OtherMDCAREFIRST MD BCBS
101786280MedicaidPA
7700925OtherPAAETNA
212330OtherPAJOHNS HOPKINS
1920323OtherPAHIGHMARK BLUE SHIELD
20069235OtherPAAMERIHEALTH MERCY-WMG

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
I20070117000443 PA Practitioner - Radiation Oncology 2365443363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Kansas City University of Physicians and Surgeons, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676

1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465

1777 5TH Ave
York, PA 17403-2632
Phone (717) 843-8051

25 Monument Rd
York, PA 17403-5049

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

40 V Twin Dr
Gettysburg, PA 17325-7878

460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 851-6120

840 Tuck St
Lebanon, PA 17042-7477
Phone (717) 675-2545

850 Tuck St
Lebanon, PA 17042-7477
Phone (717) 639-3662

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013848PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 14, 2008 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 14, 2008 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Radiation Oncology Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

22 St Paul Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 217-6020

260 N 7th St
Chambersburg, PA 17201
Phone (717) 262-4660

773 Cherry Tree Ct
Hanover, PA 17331
Phone (717) 633-9573

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712

Interoperability endpoints

  • Direct secure messaging: rpramanik13857@wellspan.direct-ci.com
  • Direct secure messaging: rpramanik472386@direct.umm.edu

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1053479790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-741-8180",
            "fax_number": "717-741-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONUMENT RD",
            "address_2": "SUITE 201",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035074",
            "telephone_number": "717-812-3712",
            "fax_number": "717-812-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011722",
            "country_code": "US",
            "telephone_number": "717-262-4660",
            "fax_number": "717-263-6251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAMANIK",
        "first_name": "REENA",
        "middle_name": "KAMATH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "OS013848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "238779",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1560408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-WMG",
            "identifier": "50074892",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "919374",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101786280",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7700925",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "212330",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1920323",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "20069235",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.