Padmaraj Samarendra, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD478992 Issued in PA

Practice address

1086 Franklin St
Johnstown, PA 15905-4305

Phone

(515) 699-5999

Fax

(515) 699-5906

NPI assigned

Aug 31, 2006

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, IA2 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

Specialty

Internal MedicineAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psamarendra48386@direct.conemaugh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1669873881

  Cardiovascular Disease

  Medicare reassignment NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  • Family Medicine Physician
  • Meyersdale, PA
  • NPI 1932500154
  Medicare reassignment NPD
• DLP Conemaugh Miners Medical Center LLC

  dba Miners Hospital Emergency Physician Group

  • Emergency Medicine Physician
  • Hastings, PA
  • NPI 1629471768
  Medicare reassignment NPD
• Phoenixville Clinic Company LLC

  dba Cardiology Limerick Tower Health Medical Group

  • Family Medicine Physician
  • Phoenixville, PA
  • NPI 1891866182

  Cardiovascular Disease

  Medicare reassignment NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment NPD
• DLP Conemaugh Memorial Medical Center LLC

  dba Conemaugh Diabetes Institute

  • Registered Dietitian
  • Johnstown, PA
  • NPI 1760154975
  NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  dba Conemaugh Meyersdale Medical Center

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358
  NPD
• DLP Conemaugh Miners Medical Center LLC

  dba Conemaugh Miners Medical Center

  • Critical Access Hospital
  • Hastings, PA
  • NPI 1184620486

  Cardiovascular Disease

  NPD
• DLP Conemaugh Physician Practices LLC

  • Pediatrics Physician
  • Johnstown, PA
  • NPI 1184025876
  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Cardiovascular Disease

  NPD
• Penn State Health Medical Group, LLC

  • Diagnostic Radiology Physician
  • Harrisburg, PA
  • NPI 1457824013
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1205947512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 TULIP TREE LANE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-440-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "515-699-5999",
            "fax_number": "515-699-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARENDRA",
        "first_name": "PADMARAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD478992",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IA",
            "license": "34397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saintlucy LLC
• Salah Mohammed Mustafa Aldergash MD
• Marty M Salas, MD
• Amanda Salat, LCSW
• Abobakr Saleh, MD
• Karina Sanchez, M.D.
• Christine Lee Santorella, PA
• Mikki Sapkota, M.D.
• Denise Sapolich, PA-C
• Carol Ann Sarlouis, LPC

• Cardiovascular Disease Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.