Individual provider Active NPI

Nanjundappa Somasekhar Harshavardhana, MD

  • Pediatric Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1144574682
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
MT202987 Issued in PA
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

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT202987PAMDPediatric 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.

Verify at the official NPI Registry.