Active NPI
Nanjundappa Somasekhar Harshavardhana, MD
- Pediatric Orthopaedic Surgery Physician
- Philadelphia, PA
National Provider Identifier
1144574682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- MT202987
- Practice address
- 34TH Street and Civic Center Boulvevard
2ND Floor, Wood Building - Division of Orthopedics
Philadelphia, PA 19104 - Phone
- (215) 590-1534
- NPI assigned
- Nov 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MT202987 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Boulvevard
2ND Floor, Wood Building - Division of Orthopedics
Philadelphia, PA 19104
Mailing address
4701 Pine St
Apt M9, Garden Court Plaza
Philadelphia, PA 19143-1816
Phone (215) 436-7730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT202987 | PA | MD | Pediatric Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1144574682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 PINE ST",
"address_2": "APT M9, GARDEN COURT PLAZA",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431816",
"telephone_number": "215-436-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULVEVARD",
"address_2": "2ND FLOOR, WOOD BUILDING - DIVISION OF ORTHOPEDICS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSHAVARDHANA",
"first_name": "NANJUNDAPPA",
"middle_name": "SOMASEKHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "PA",
"license": "MT202987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.