Individual provider Active NPI

Sindhu Mala

  • Pediatrics Physician
  • Sayre, PA
National Provider Identifier
1205322997
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD474343 Issued in PA
Practice address
1011 N Elmer Ave
Sayre, PA 18840-1832
Phone
(570) 887-3070
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Pediatrics Physician 208000000X MD474343 PA Primary

Addresses

Primary practice location

1011 N Elmer Ave
Sayre, PA 18840-1832

Mailing address

101-43,118TH Street South Richmond Hill
New York, NY 11419
Phone (646) 829-8295

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
I20210625001568 PA Practitioner - Pediatric Medicine 3375944515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

1011 N Elmer Ave
Pediatrics
Sayre, PA 18840-1832
Phone (570) 887-3070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. Single Specialty Current Accepting new patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

1011 N Elmer Ave
Sayre, PA 18840
Phone (570) 887-3070

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: smala167631@direct-guthrie.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1205322997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101-43,118TH STREET SOUTH RICHMOND HILL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "646-829-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N ELMER AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401832",
            "telephone_number": "570-887-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALA",
        "first_name": "SINDHU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD474343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.