Individual provider Active NPI

Satish Amirneni, MD

  • Geriatric Psychiatry Physician
  • Clearfield, PA
National Provider Identifier
1114025558
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD054618-L Issued in PA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
015282000006MedicaidPA
260048013OtherPARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000051 PA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6002816899 Reassigns benefits to 2 organizations
Practice locations: Hollidaysburg, PA; Duncansville, PA; Punxsutawney, PA; Phillipsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric 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

LicenseStateTypeSpecialty
MD054618-LPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince Apr 14, 2018 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince Apr 14, 2018 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.

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

Verify at the official NPI Registry.