NPIMap

Individual provider Active NPI

Soni Srivastav, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsburg, PA
National Provider Identifier
1114178308
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD447812 Issued in PA
Practice address
2005 Technology Pkwy
Suite 440
Mechanicsburg, PA 17050-9413
Phone
(717) 791-2540
Fax
(717) 791-2549
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD447812 PA Primary

Addresses

Primary practice location

2005 Technology Pkwy
Suite 440
Mechanicsburg, PA 17050-9413

Mailing address

2005 Technology Pkwy Ste 440
Mechanicsburg, PA 17050-9413

Other practice location 1

810 Sir Thomas Ct Ste 101
Harrisburg, PA 17109-4839
Phone (717) 614-4420

Other practice location 2

1251 E Main St Ste 3
Annville, PA 17003-1643
Phone (717) 867-4671

Other identifiers 1

IdentifierTypeStateIssuer
102838470MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssrivastav7423@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000802 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 1658517388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2005 Technology Pkwy
Suite 440
Mechanicsburg, PA 17050-9413
Phone (717) 791-2540

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD447812PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2013 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2013 Accepting new patients
Pinnacle Health Medical Services Endocrinology, Diabetes & Metabolism Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

810 Sir Thomas Ct
#101
Harrisburg, PA 17109
Phone (717) 614-4420

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2005 Technology Pkwy
Ste 440
Mechanicsburg, PA 17050
Phone (717) 614-4420

3 Walnut St
Ste 100
Wormleysburg, PA 17043
Phone (717) 737-3037

Interoperability endpoints

  • Direct secure messaging: ssrivastav19207@upmc.direct-ci.com

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1114178308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY STE 440",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY",
            "address_2": "SUITE 440",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413",
            "telephone_number": "717-791-2540",
            "fax_number": "717-791-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Sir Thomas Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094839",
            "country_code": "US",
            "telephone_number": "717-614-4420",
            "fax_number": "717-614-4421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 E Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031643",
            "country_code": "US",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAV",
        "first_name": "SONI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD447812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102838470",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssrivastav7423@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2005 Technology Pkwy",
            "address_2": "Suite 440",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.