Individual provider Active NPI

Madhur Patil, DMD

  • Pediatric Dentistry
  • Mechanicsburg, PA
National Provider Identifier
1134474364
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS039254 Issued in PA
Practice address
4836 E Trindle Rd
Mechanicsburg, PA 17050-3635
Phone
(717) 737-5834
Fax
(717) 737-2158
NPI assigned
Jul 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS039254 PA Primary

Addresses

Primary practice location

4836 E Trindle Rd
Mechanicsburg, PA 17050-3635

Mailing address

4836 E Trindle Rd
Mechanicsburg, PA 17050-3635
Phone (717) 737-5834

Other practice location 1

4509 Union Deposit Rd
Harrisburg, PA 17111-2911
Phone (717) 558-9830

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226000289 PA Practitioner - Dentist 8628373461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Dec 17, 2018 Accepting new patients
Geisinger Clinic CurrentSince Dec 17, 2018 Accepting new patients
Kearns & Ashby DDS PC Pediatric Dentistry CurrentSince Mar 11, 2025 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

4836 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 737-5834

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1134474364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503635",
            "telephone_number": "717-737-5834",
            "fax_number": "717-737-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503635",
            "telephone_number": "717-737-5834",
            "fax_number": "717-737-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Union Deposit Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171112911",
            "country_code": "US",
            "telephone_number": "717-558-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "MADHUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.