Individual provider Active NPI

Anuradha Tunuguntla, MD

  • Interventional Cardiology Physician
  • Lewisburg, PA
National Provider Identifier
1114128261
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD440592 Issued in PA
Practice address
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone
(570) 522-5056
Fax
(570) 524-5061
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD440592 PA Primary
Cardiovascular Disease Physician 207RC0000X MD440592 PA
Cardiovascular Disease Physician 207RC0000X 9295A WY

Addresses

Primary practice location

1 Hospital Dr
Lewisburg, PA 17837-9350

Mailing address

3 Windy Dr
Shavertown, PA 18708-9328

Other identifiers 1

IdentifierTypeStateIssuer
62511MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151009000569 NE Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8527099076 Reassigns benefits to 1 organization
I20190220001932 KS Practitioner - Interventional Cardiology 8527099076 Reassigns benefits to 1 organization
I20250109003350 WV Practitioner - Interventional Cardiology 8527099076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

Smith Center, KS 66967
Phone (785) 282-6845

102 McNeel LN
Suite 1
North Platte, NE 69101-6299
Phone (308) 532-5522

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

1760 County Rd J
Wahoo, NE 68066-4152
Phone (402) 443-1422

2222 N Lincoln Ave
York General Hospital
York, NE 68467-1030
Phone (402) 362-6671

3515 Richmond Cir
Grand Island, NE 68803-4965
Phone (308) 381-8636

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3344

555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000

7440 S 91St St
Lincoln, NE 68526-9797

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

910 20TH St
Gothenburg, NE 69138-1237
Phone (308) 537-3661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.24 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
80.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pali Momi Medical Center CurrentSince Feb 2, 2018 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Nov 4, 2024 Accepting new patients
Pali Momi Medical Center CurrentSince Feb 2, 2018 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Nov 4, 2024 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Jul 1, 2021 Accepting new patients
Nebraska Heart Hospital Past Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

614 S Main St
Smith Center, KS 66967
Phone (785) 282-6845

3219 Central Ave
Ste 201
Kearney, NE 68847
Phone (308) 865-7271

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Organizations & group practices 7

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 5

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1114128261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINDY DR",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379350",
            "telephone_number": "570-522-5056",
            "fax_number": "570-524-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNUGUNTLA",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD440592",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD440592",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "9295A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62511",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.