Individual provider Active NPI

Shandurai Teurai Takavarasha, M.D.

  • Infectious Disease Physician
  • East Stroudsburg, PA
National Provider Identifier
1114286069
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD479316 Issued in PA
Practice address
175 E Brown St
East Stroudsburg, PA 18301-3098
Phone
(570) 426-2840
Fax
(570) 420-2845
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD479316 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 289492 NY

Addresses

Primary practice location

175 E Brown St
East Stroudsburg, PA 18301-3098

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (570) 501-6368

Other practice location 1

559 W Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-1000

Other practice location 2

602 Ivy St
Elmira, NY 14905-1646
Phone (607) 737-4577

Other practice location 3

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170822003420 NY Practitioner - Infectious Disease 0749552974 Reassigns benefits to 1 organization
I20230131002798 PA Practitioner - Infectious Disease 0749552974 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Icahn School of Medicine at Mount Sinai, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

175 E Brown St
102 LVPG General and Trauma Surgery
East Stroudsburg, PA 18301-3098
Phone (570) 424-1424

200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

600 Commerce Blvd
Stroudsburg, PA 18360-6214
Phone (570) 424-7390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Arnot Medical Services PLLC Infectious Disease CurrentSince Oct 1, 2017 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Family Care Centers Inc. CurrentSince Jan 9, 2023 Accepting new patients
Family Care Centers Inc CurrentSince Jan 9, 2023 Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

602 Ivy St
Elmira, NY 14905
Phone (607) 735-4633

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

521 W Seneca St
Ithaca, NY 14850
Phone (607) 330-1254

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

175 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3401

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: stakavarasha736501@direct2.lvhn.org
  • Direct secure messaging: shandurai.takavarasha@arn.eclinicaldirectplus.com

Organizations & group practices 10

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 2

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1114286069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "570-501-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-426-2840",
            "fax_number": "570-420-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 W Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034250",
            "country_code": "US",
            "telephone_number": "484-622-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Ivy St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149051646",
            "country_code": "US",
            "telephone_number": "607-737-4577",
            "fax_number": "607-737-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395672",
            "country_code": "US",
            "telephone_number": "973-322-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKAVARASHA",
        "first_name": "SHANDURAI",
        "middle_name": "TEURAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD479316",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "289492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.