Active NPI
Satish Amirneni, MD
- Geriatric Psychiatry Physician
- Clearfield, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MD054618-L
- Practice address
- 809 Turnpike Ave
C/O Bright Horizons(Clearfield Hospital)
Clearfield, PA 16830-1232 - Phone
- (814) 768-2184
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | MD054618-L | PA | Primary |
Addresses
Primary practice location
809 Turnpike Ave
C/O Bright Horizons(Clearfield Hospital)
Clearfield, PA 16830-1232
Mailing address
114 Highland Ave
Hollidaysburg, PA 16648-9740
Phone (814) 696-5790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015282000006 | Medicaid | PA | |
| 260048013 | Other | PA | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
114 Highland Ave
Hollidaysburg, PA 16648-9740
Phone (814) 696-5790
240 W Mahoning St
Punxsutawney, PA 15767-1919
Phone (814) 938-1830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD054618-L | PA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Human Services | Current | Accepting new patients | |
| Pennsylvania Department of Public Welfare | Current | Accepting new patients | |
| PA Department of Military and Veterans Affairs | Current | Accepting new patients | |
| Garvey Manor Nursing Home | Past | Accepting new patients | |
| Gary a Raymond, DPM, PC | Past | Accepting new patients |
Locations
4501 Admiral Peary Hwy
Ebensburg, PA 15931
Phone (814) 472-0200
401 Penn Ave
Scranton, PA 18503
Phone (570) 961-4300
1000 US Highway 522
Selinsgrove, PA 17870
Phone (570) 372-5601
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Delaware Valley Veterans Home
- Nursing Facility/Intermediate Care Facility
- Philadelphia, PA
- NPI 1578672796
-
dba Ebensburg Center
- Intellectual Disabilities Intermediate Care Facility
- Ebensburg, PA
- NPI 1154304483
-
dba Allentown State Hospital
- Psychiatric Hospital
- Allentown, PA
- NPI 1386626919
-
- Nursing Facility/Intermediate Care Facility
- Hollidaysburg, PA
- NPI 1497750053
-
dba Advanced Regional Center for Ankle and Foot Care
- Podiatrist
- Ebensburg, PA
- NPI 1922248954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1114025558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 HIGHLAND AVE",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166489740",
"telephone_number": "814-696-5790",
"fax_number": "814-696-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 TURNPIKE AVE",
"address_2": "C/O BRIGHT HORIZONS(CLEARFIELD HOSPITAL)",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301232",
"telephone_number": "814-768-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIRNENI",
"first_name": "SATISH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "PA",
"license": "MD054618-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015282000006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260048013",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.