Individual provider Active NPI

Vipul Gidwani, MD

  • Hospitalist Physician
  • Danville, PA
National Provider Identifier
1235649948
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD481187 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-1158
Phone
(570) 214-9585
Fax
(570) 214-9519
NPI assigned
Oct 7, 2017
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01082841A IN
Hospitalist Physician 208M00000X MD481187 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-1158

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

2003 Stults Rd Ste 220
Huntington, IN 46750-1291
Phone (260) 463-2133

Other practice location 2

1655 N Cass St
Wabash, IN 46992-9416
Phone (260) 463-2133

Other practice location 3

885 W Connexion Way Ste 200
Columbia City, IN 46725-1045
Phone (260) 463-2133

Other practice location 4

610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone (260) 347-5592

Other practice location 5

2500 N Detroit St
LaGrange, IN 46761-1158
Phone (260) 463-2133

Other practice location 6

1310 E 7th St Ste G
Auburn, IN 46706-2518
Phone (260) 463-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA2 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
I20200615002931 IN Practitioner - Internal Medicine 2365864691 Reassigns benefits to 1 organization
I20231002003528 PA Practitioner - HospitalistPractitioner - Internal Medicine 2365864691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

255 Route 220 Hwy
Muncy, PA 17756-7569
Phone (570) 308-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082841AINMDInternal Medicine Physician
MD481187PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 5, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Northeast Internal Medicine Associates, PC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Sep 5, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 5, 2023 Accepting new patients
Geisinger Clinic CurrentSince Sep 5, 2023 Accepting new patients
Northeast Internal Medicine Associates, PC PastSince Sep 5, 2021 Accepting new patients

Locations

1310 E 7th St
Ste G
Auburn, IN 46706
Phone (260) 436-0259

885 W Connexion Way
Ste 200
Columbia City, IN 46725
Phone (260) 248-9260

2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133

610 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-5592

2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133

1655 N Cass St
Wabash, IN 46992
Phone (260) 463-2133

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

Organizations & group practices 8

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1235649948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178221158",
            "telephone_number": "570-214-9585",
            "fax_number": "570-214-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Stults Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "IN",
            "postal_code": "467501291",
            "country_code": "US",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 N Cass St",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469929416",
            "country_code": "US",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 W Connexion Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "467251045",
            "country_code": "US",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 N Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552566",
            "country_code": "US",
            "telephone_number": "260-347-5592",
            "fax_number": "260-347-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N Detroit St",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467611158",
            "country_code": "US",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 E 7th St Ste G",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "IN",
            "postal_code": "467062518",
            "country_code": "US",
            "telephone_number": "260-463-2133",
            "fax_number": "260-463-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDWANI",
        "first_name": "VIPUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-07",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01082841A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD481187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.