Organization Active NPI

Pradeep Lothe MD PC

  • Internal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1144326505
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD045597L Issued in PA
Legal business name
PRADEEP LOTHE MD PC
Practice address
300 East Lancaster Avenue
Wynnewood House , Suite 105a
Wynnewood, PA 19096
Phone
(610) 649-3040
Fax
(610) 645-0754
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Pradeep A Lothe, MD
Title
President
Phone
(610) 649-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X MD045597L PA Primary

Addresses

Primary practice location

300 East Lancaster Avenue
Wynnewood House , Suite 105a
Wynnewood, PA 19096

Mailing address

300 East Lancaster Avenue
Wynnewood House , Suite 105a
Wynnewood, PA 19096
Phone (610) 649-3040

Other identifiers 1

IdentifierTypeStateIssuer
142714501MedicaidPA

National Provider Directory

National Provider Directory

Locations

300 E Lancaster Ave
Ste 105A
Wynnewood, PA 19096
Phone (610) 649-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1144326505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST LANCASTER AVENUE",
            "address_2": "WYNNEWOOD HOUSE , SUITE 105A",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-649-3040",
            "fax_number": "610-645-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST LANCASTER AVENUE",
            "address_2": "WYNNEWOOD HOUSE , SUITE 105A",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-649-3040",
            "fax_number": "610-645-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADEEP LOTHE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "LOTHE",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-649-3040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD045597L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142714501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.