Individual provider Active NPI

Salman Porbandarwalla, M.D., M.S.

  • Retina Specialist (Ophthalmology) Physician
  • Lancaster, PA
National Provider Identifier
1245490663
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD451283 Issued in PA
Practice address
2150 Harrisburg Pike Ste 370
Lancaster, PA 17601-2644
Phone
(717) 399-8790
Fax
(717) 399-8790
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD451283 PA Primary

Addresses

Primary practice location

2150 Harrisburg Pike Ste 370
Lancaster, PA 17601-2644

Mailing address

2150 Harrisburg Pike Ste 370
Lancaster, PA 17601-2644
Phone (717) 399-8790

Other identifiers 2

IdentifierTypeStateIssuer
1245490663MedicaidWA
0293739OtherWAL&I

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
I20140812001091 PA Practitioner - Ophthalmology 4082870324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2148 Embassy Dr
Lancaster, PA 17603-2385
Phone (717) 626-0062

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Lancaster, LLC CurrentSince Apr 24, 2023 Accepting new patients
Intrepidus Current Accepting new patients

Locations

2150 Harrisburg Pike
Ste 370
Lancaster, PA 17601
Phone (717) 399-8790

2148 Embassy Dr
Lancaster, PA 17603
Phone (315) 382-8315

2148 Embassy Dr
Ste 100
Lancaster, PA 17603
Phone (717) 925-0917

Interoperability endpoints

  • Direct secure messaging: sporbandarwalla287092@wellspan.direct-ci.com
  • Direct secure messaging: drporbandarwalla@ral.medentdirect.com

Organizations & group practices 2

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 3

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245490663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HARRISBURG PIKE STE 370",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-399-8790",
            "fax_number": "717-399-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HARRISBURG PIKE STE 370",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-399-8790",
            "fax_number": "717-399-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORBANDARWALLA",
        "first_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD451283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245490663",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0293739",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.