Shubhendu Balendu Bajpai, M.D
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sayre, PA
NPI 1073305157 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1073305157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- Graduate Medical Education Guthrie/Robert Packer Hospit
One Guthrie Square,
Sayre, PA 18840 - Phone
- (570) 888-6666
- NPI assigned
- May 22, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022004651 | PA | Order and Referring Only - Internal Medicine |
4789172602 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- sbajpai226816@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
Graduate Medical Education Guthrie/Robert Packer Hospit
One Guthrie Square,
Sayre, PA 18840
Mailing address
Graduate Medical Education Guthrie/Robert Packer Hospit
One Guthrie Square,
Sayre, PA 18840
Phone (570) 888-6666
Other providers in Sayre, PA
- Kourtney M Babcock
- Seokjae John Bahng
- Rebecca S Bailey
- Shannon Marie Bailey
- Courtney J Baileys
- Paul Eric Baker
- Khush Bakhat
- Catherine Ball
- Geneva R. Ballard
- Jacob Thatcher Ballard
All providers in Sayre, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.