Individual provider Active NPI

Shubhada Sawardekar, M.D.

  • Family Medicine Physician
  • Grove City, PA
National Provider Identifier
1144206913
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD038529L Issued in PA
Practice address
201C Erie St
Grove City, PA 16127-1610
Phone
(724) 458-7005
Fax
(724) 458-5297
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD038529L PA Primary

Addresses

Primary practice location

201C Erie St
Grove City, PA 16127-1610

Mailing address

201C Erie St
Grove City, PA 16127-1610
Phone (724) 458-7005

Other identifiers 9

IdentifierTypeStateIssuer
251684296-00OtherPAHEALTH AMERICA
251684296-00OtherPAHEALTH ASSURANCE
0524017OtherPAUS HEALTH
090050OtherPABLUE CROSS/ BLUE SHIELD
PAMX28541OtherPAADVANTAGE
0014905600001MedicaidPA
207653OtherPAUPMC
4534377OtherPAAETNA
PR62984880001OtherPACIGNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000335 PA Practitioner - Family Practice 7517032303 Practice locations: Grove City, PA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038529LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Past Accepting new patients

Organizations & group practices 1

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1144206913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201C ERIE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271610",
            "telephone_number": "724-458-7005",
            "fax_number": "724-458-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201C ERIE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271610",
            "telephone_number": "724-458-7005",
            "fax_number": "724-458-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWARDEKAR",
        "first_name": "SHUBHADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038529L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "251684296-00",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "251684296-00",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "0524017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "090050",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTAGE",
            "identifier": "PAMX28541",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014905600001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "207653",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4534377",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR62984880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.