Individual provider Active NPI

Samir Sudhir Panvelker, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cherry Hill, NJ
National Provider Identifier
1194145250
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA11895200 Issued in NJ
Practice address
2339 Route 70 W Ste 300
Cherry Hill, NJ 08002-3315
Phone
(856) 795-3597
Fax
(856) 795-7590
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA11895200 NJ Primary

Addresses

Primary practice location

2339 Route 70 W Ste 300
Cherry Hill, NJ 08002-3315

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (848) 288-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171016003374 VA Practitioner - Internal Medicine 3375765852 Reassigns benefits to 1 organization
I20230719003252 NJ Practitioner - Endocrinology 3375765852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

1030 Kings Hwy N
Suite 310
Cherry Hill, NJ 08034-1907
Phone (856) 667-7266

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 1, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 28, 2023 Accepting new patients

Locations

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

2339 Route 70 W
Fl 3
Cherry Hill, NJ 08002
Phone (856) 536-1500

1030 Kings Hwy N
Ste 310
Cherry Hill, NJ 08034
Phone (856) 667-7266

2339 Route 70 W
Ste 300
Cherry Hill, NJ 08002
Phone (856) 667-7266

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

390 N Broadway
Ste 0
Pennsville, NJ 08070

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

900 Centennial Blvd
Ste F
Voorhees, NJ 08043
Phone (856) 325-6644

301 S 8th St
Fl 4
Philadelphia, PA 19106
Phone (215) 829-3445

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

1215 Lee St
Fl 3
Charlottesville, VA 22908
Phone (434) 243-7594

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: spanvelker168558@direct.cooperhealth.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1194145250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 ROUTE 70 W STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023315",
            "telephone_number": "856-795-3597",
            "fax_number": "856-795-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANVELKER",
        "first_name": "SAMIR",
        "middle_name": "SUDHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA11895200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.