Individual provider Active NPI

Krupa Mathada Sivamurthy, MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1174790406
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD434175 Issued in PA
Practice address
Erie Avenue at Front Street St Christophers Hospital
2ND Floor Dept of Hematology Nelson Pavilion
Philadelphia, PA 19134
Phone
(215) 427-8968
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD434175 PA Primary

Addresses

Primary practice location

Erie Avenue at Front Street St Christophers Hospital
2ND Floor Dept of Hematology Nelson Pavilion
Philadelphia, PA 19134

Mailing address

2736 Whittleby CT
West Chester, PA 19382-8187
Phone (610) 918-9949

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1174790406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 WHITTLEBY CT",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828187",
            "telephone_number": "610-918-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ERIE AVENUE AT FRONT STREET ST CHRISTOPHERS HOSPITAL",
            "address_2": "2ND FLOOR DEPT OF HEMATOLOGY NELSON PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-427-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAMURTHY",
        "first_name": "KRUPA",
        "middle_name": "MATHADA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD434175",
            "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 May 15, 2008; 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.