NPIMap

Individual provider Active NPI

Mitul Afiniwala, M.D.

  • Cardiovascular Disease Physician
  • Gettysburg, PA
National Provider Identifier
1053594408
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD435655 Issued in PA
Practice address
455 S Washington St
Suite 22
Gettysburg, PA 17325-2516
Phone
(717) 339-3105
Fax
(717) 339-3107
NPI assigned
Dec 7, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD435655 PA
Cardiovascular Disease Physician 207RC0000X MD435655 PA Primary

Addresses

Primary practice location

455 S Washington St
Suite 22
Gettysburg, PA 17325-2516

Mailing address

PO Box 825395
Philadelphia, PA 19182-5395
Phone (717) 339-3105

Other identifiers 1

IdentifierTypeStateIssuer
102264833MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090218000417 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2163587528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

5000 Frankford Ave
Suite 1
Philadelphia, PA 19124-2620
Phone (215) 824-4559

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD435655PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Sep 1, 2015 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Aria Health Physician Services Past Accepting new patients
Oncall Physician Staffing, Inc Past Accepting new patients
Oncall Hospitalist Staffing, PC Past Accepting new patients

Locations

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

5000 Frankford Ave
#1
Philadelphia, PA 19124
Phone (215) 831-2218

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

Organizations & group practices 6

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 3

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1053594408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825395",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825395",
            "telephone_number": "717-339-3105",
            "fax_number": "717-339-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S WASHINGTON ST",
            "address_2": "SUITE 22",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252516",
            "telephone_number": "717-339-3105",
            "fax_number": "717-339-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFINIWALA",
        "first_name": "MITUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD435655",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD435655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102264833",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.