NPIMap

Individual provider Active NPI

Anishee Shah Undavia, M.D.

  • Neurology Physician
  • Sellersville, PA
National Provider Identifier
1215197124
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD452313 Issued in PA
Practice address
920 Lawn Ave
Suite 5
Sellersville, PA 18960-1560
Phone
(215) 257-1209
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD452313 PA Primary

Addresses

Primary practice location

920 Lawn Ave
Suite 5
Sellersville, PA 18960-1560

Mailing address

5501 Old York Road
Korman Suite 202
Philadelphia, PA 19141-3018
Phone (215) 456-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918001005 PA Practitioner - Neurology 2961641329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1001 Chesterbrook Blvd FL 3
Specialty Care VF
Berwyn, PA 19312-3805
Phone (610) 576-7500

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452313PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan, Inc. Neurology CurrentSince Jun 1, 2016 Accepting new patients
Einstein Practice Plan, Inc. Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 17, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jun 1, 2016 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Neurology Past Accepting new patients

Locations

1001 Chesterbrook Blvd
Fl 3E
Berwyn, PA 19312

1001 Chesterbrook Blvd
Fl 3
Berwyn, PA 19312
Phone (610) 576-7500

5401 Old York Rd
#A
Phila, PA 19141

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

920 Lawn Ave
Ste 5
Sellersville, PA 18960
Phone (215) 257-1209

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

Organizations & group practices 7

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 6

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1215197124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD",
            "address_2": "KORMAN SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-4695",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE",
            "address_2": "SUITE 5",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-257-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDAVIA",
        "first_name": "ANISHEE",
        "middle_name": "SHAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD452313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.