Individual provider Active NPI

Pravin A Taneja, M.D.

  • Pediatric Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1154405264
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
MD427498 Issued in PA
Practice address
St. Christopher'S Hospital for Children
Erie Ave at Front Street
Philadelphia, PA 19134-1095
Phone
(215) 427-5220
Fax
(215) 427-4339
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD427498 PA
Pediatric Anesthesiology Physician 207LP3000X MD427498 PA Primary

Addresses

Primary practice location

St. Christopher'S Hospital for Children
Erie Ave at Front Street
Philadelphia, PA 19134-1095

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

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
I20070219000419 PA Practitioner - Anesthesiology 3577665785 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 10, 2024 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
STC Pediatrics LLC CurrentSince Dec 1, 2019 Accepting new patients
STC Pediatrics LLC CurrentSince Dec 1, 2019 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince May 21, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 10, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Feb 8, 2019 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

4905 W Tilghman St
Ste 250
Allentown, PA 18104
Phone (484) 866-9581

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

1000 N Broad St
Lansdale, PA 19446
Phone (215) 368-1646

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 11

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1154405264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
            "address_2": "ERIE AVE AT FRONT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341095",
            "telephone_number": "215-427-5220",
            "fax_number": "215-427-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANEJA",
        "first_name": "PRAVIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD427498",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD427498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.