Organization Active NPI

Keystone Allergy and Asthma Center PC

  • Allergy & Immunology Physician
  • Exton, PA
National Provider Identifier
1164013140
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
KEYSTONE ALLERGY AND ASTHMA CENTER PC
Practice address
310 Exton Commons
Exton, PA 19341
Phone
(610) 890-9990
Fax
(610) 890-9991
NPI assigned
Feb 1, 2021
Reactivated
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Sujal P Ghelani, DONPI 1700213055
Title
Physician
Phone
(484) 897-7143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

310 Exton Commons
Exton, PA 19341

Mailing address

310 Exton CMNS
Exton, PA 19341-2450
Phone (484) 897-7143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317002924 PA Part B Supplier - Clinic/Group Practice 1456768449 Receives reassigned benefits from 1 practitioner
Practice locations: Exton, PA

National Provider Directory

National Provider Directory

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": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1164013140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412450",
            "telephone_number": "484-897-7143",
            "fax_number": "484-328-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EXTON COMMONS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-890-9990",
            "fax_number": "610-890-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ALLERGY AND ASTHMA CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "deactivation_date": "2021-08-18",
        "reactivation_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "GHELANI",
        "authorized_official_first_name": "SUJAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "484-897-7143",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.