Individual provider Active NPI

Madhumita Sadhukhan, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1073563292
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD071289L Issued in PA
Practice address
802 New Holland Ave Ste 200
Lancaster, PA 17602-2288
Phone
(717) 299-6371
Fax
(717) 945-1587
NPI assigned
May 10, 2006
Last updated
Mar 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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 MD071289L PA Primary

Addresses

Primary practice location

802 New Holland Ave Ste 200
Lancaster, PA 17602-2288

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 735-6808

Other identifiers 2

IdentifierTypeStateIssuer
158841OtherPAMEDICARE GROUP NUMBER
0017987600001MedicaidPA

Other names 1

  • Dr. Madhumita Chatterjee Former name

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
I20100714000514 PA Practitioner - Family Practice 9931231743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community CareGroup PAC ID 8123914322, 20 clinicians

Practice addresses (Care Compare)

584 Springville Rd
New Holland, PA 17557-9564
Phone (717) 299-6371

625 S Duke St
Lancaster, PA 17602-4509
Phone (717) 299-6371

920 Church St
Lebanon, PA 17046-4656
Phone (717) 299-6371

960 Church St
Lebanon, PA 17046-4656
Phone (717) 769-4744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071289LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Organizations & group practices 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1073563292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-735-6808",
            "fax_number": "717-945-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022288",
            "telephone_number": "717-299-6371",
            "fax_number": "717-945-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADHUKHAN",
        "first_name": "MADHUMITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071289L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "158841",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017987600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHUMITA",
            "last_name": "CHATTERJEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.