Individual provider Active NPI

Karuna S Mandava, MD

  • Neurology Physician
  • Greensburg, PA
National Provider Identifier
1255305397
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD072721L Issued in PA
Practice address
426 Pellis Rd
Greensburg, PA 15601-4574
Phone
(724) 838-0090
Fax
(724) 830-7717
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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 MD072721L PA Primary

Addresses

Primary practice location

426 Pellis Rd
Greensburg, PA 15601-4574

Mailing address

426 Pellis Rd
Greensburg, PA 15601-4574
Phone (724) 838-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD072721LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Neurological Institute of Western Pennsylvania PC Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmandava@direct.excelahealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1255305397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014574",
            "telephone_number": "724-838-0090",
            "fax_number": "724-830-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014574",
            "telephone_number": "724-838-0090",
            "fax_number": "724-830-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "KARUNA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD072721L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.