Active NPI
Shandurai Teurai Takavarasha, M.D.
- Infectious Disease Physician
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD479316
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 74.47
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 74.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Infectious Disease | Current | Accepting new patients |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| Family Care Centers Inc | Current | 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
- stakavarasha736501@direct2.lvhn.org
- 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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Infectious Disease
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
dba LVPG ExpressCare Pocono
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
dba LVPG Family Medicine - Airport Road
- Family Medicine Physician
- Allentown, PA
- NPI 1902422058
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
dba Lehigh Valley Hospital - Dickson City
- General Acute Care Hospital
- Dickson City, PA
- NPI 1396402053
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.