Individual provider Active NPI

Kanchana Nilupul Herath, MD

  • Rheumatology Physician
  • Philadelphia, PA
National Provider Identifier
1093058877
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD465251 Issued in PA
Practice address
1261 Division Highway
Ste 2
Philadelphia, PA 17522-8822
Phone
(717) 299-1301
Fax
(717) 299-2214
NPI assigned
Mar 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD465251 PA Primary

Addresses

Primary practice location

1261 Division Highway
Ste 2
Philadelphia, PA 17522-8822

Mailing address

1261 Division Highway
Ste 2
Philadelphia, PA 17522-8822
Phone (717) 299-1301

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
I20181015002521 PA Practitioner - Rheumatology 3173842572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

690 Good Dr
Suite 23
Lancaster, PA 17601-2433
Phone (717) 299-1301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD465251PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Aug 27, 2018 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 27, 2018 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

1261 Division Hwy
#2
Ephrata, PA 17522
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2108 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3555

175 S Centerville Rd
Lancaster, PA 17603
Phone (717) 299-4644

690 Good Dr
Ste 23
Lancaster, PA 17601
Phone (717) 299-1301

Interoperability endpoints

  • Direct secure messaging: kherath180288@direct-lghealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1093058877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 DIVISION HIGHWAY",
            "address_2": "STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "175228822",
            "telephone_number": "717-299-1301",
            "fax_number": "717-299-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 DIVISION HIGHWAY",
            "address_2": "STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "175228822",
            "telephone_number": "717-299-1301",
            "fax_number": "717-299-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERATH",
        "first_name": "KANCHANA",
        "middle_name": "NILUPUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-31",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD465251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.