Individual provider Active NPI

Ujwal Tuladhar, MD

  • Hospitalist Physician
  • Scranton, PA
National Provider Identifier
1104198910
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD456478 Issued in PA
Practice address
1800 Mulberry St
Scranton, PA 18510
Phone
(570) 703-7351
NPI assigned
Feb 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 56762 WI
Hospitalist Physician 208M00000X MD456478 PA Primary

Addresses

Primary practice location

1800 Mulberry St
Scranton, PA 18510

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

Other practice location 2

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002089 PA Practitioner - HospitalistPractitioner - Internal Medicine 8527214048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

42 N Main St
Pittston, PA 18640-1916
Phone (570) 654-0880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56762WIMDInternal Medicine Physician
MD456478PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jan 4, 2016 Accepting new patients
Geisinger Clinic CurrentSince Jan 4, 2016 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

57 N Main St
Pittston, PA 18640
Phone (570) 602-5620

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500

531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1104198910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18510",
            "telephone_number": "570-703-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "545016710",
            "country_code": "US",
            "telephone_number": "715-361-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Rhinelander",
            "state": "WI",
            "postal_code": "545016710",
            "country_code": "US",
            "telephone_number": "715-361-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULADHAR",
        "first_name": "UJWAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "56762",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD456478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.