Active NPI
Smitha Nair, M.D.
- Family Medicine Physician
- Gettysburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD432406
- Practice address
- 40 V Twin Dr Ste 204
Gettysburg, PA 17325-7878 - Phone
- (717) 339-2424
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D66537 | MD | |
| Family Medicine Physician | 207Q00000X | MD432406 | PA | Primary |
Addresses
Primary practice location
40 V Twin Dr Ste 204
Gettysburg, PA 17325-7878
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
20 Expedition TRL
Ste 101
Gettysburg, PA 17325-8599
Phone (717) 420-2254
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102041319 | Medicaid | PA | |
| 113212 | Other | PA | GEISINGER |
| 913982 | Other | CAREFIRST MD BCBS | |
| 20069100 | Other | PA | AMERIHEALTH MERCY-WMG |
| J840-0005 | Other | CAREFIRST MD BCBS HMO | |
| 216038 | Other | PA | JOHNS HOPKINS |
| P17766 | Other | CAREFIRST MD BCBS POS | |
| 1987747 | Other | PA | HIGHMARK BLUE SHIELD |
| 015529200 | Medicaid | MD | |
| 225492 | Other | PA | UNISON-WMG |
| 50072614 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 9480099 | Other | PA | AETNA |
Other names 1
- Smitha Ramachandran Koemmedath
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
40 V Twin Dr
Suite 204
Gettysburg, PA 17325-7878
Phone (717) 339-2424
Hospital & facility affiliations
- Gettysburg Hospital
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D66537 | MD | MD | Family Medicine Physician |
| MD432406 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Smitha Nair MD PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
52 Water St
Thurmont, MD 21788
Phone (301) 271-3535
20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033
40 V Twin Dr
Ste 204
Gettysburg, PA 17325
Phone (717) 339-2424
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- snair442809@wellspan.direct-ci.com
- smitha.nair1@direct-address.net
- smitha.nair@direct-address.net
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Primary Care Clinic/Center
- Gettysburg, PA
- NPI 1174049019
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Mercersburg, PA
- NPI 1407568298
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1124171038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 V TWIN DR STE 204",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257878",
"telephone_number": "717-339-2424"
}
],
"practiceLocations": [
{
"address_1": "20 EXPEDITION TRL",
"address_2": "STE 101",
"address_purpose": "LOCATION",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173258599",
"country_code": "US",
"telephone_number": "717-420-2254",
"fax_number": "717-334-5599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAIR",
"first_name": "SMITHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D66537",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD432406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102041319",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "113212",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "913982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20069100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS HMO",
"identifier": "J840-0005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "216038",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS POS",
"identifier": "P17766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1987747",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015529200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "225492",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50072614",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9480099",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SMITHA",
"last_name": "KOEMMEDATH",
"middle_name": "RAMACHANDRAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.