Individual provider Active NPI

Mamta Verma, M.D.

  • Neurology Physician
  • Harrisburg, PA
National Provider Identifier
1275749335
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MT182314 Issued in PA
Practice address
4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Phone
(717) 920-7664
Fax
(717) 920-4361
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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 MT182314 PA Primary

Addresses

Primary practice location

4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329

Mailing address

4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Phone (717) 920-7664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mverma5854@phsdirect.pinnaclehealth.org

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
I20070816000165 PA Practitioner - Neurology 5294827580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1160 Manheim Pike
Suite 202
Lancaster, PA 17601-3127
Phone (717) 988-0090

121 Towne Square Dr
Hershey, PA 17033-9440

1251 E Main St
Annville, PA 17003-1643

1251 E Main Street
Annville, PA 17003-1643

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

4310 Londonderry Rd
Harrisburg, PA 17109-5329

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT182314PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Oct 5, 2013 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 5, 2013 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Pennsylvania Neurosurgery and Neuroscience Institute, Inc. Neurology Past Accepting new patients

Locations

4310 Londonderry Rd
Ste 202
Harrisburg, PA 17109
Phone (717) 920-4360

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

121 Towne Square Dr
Ste 303
Hershey, PA 17033
Phone (717) 761-4141

Organizations & group practices 5

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 9

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1275749335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-920-7664",
            "fax_number": "717-920-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-920-7664",
            "fax_number": "717-920-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "MAMTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MT182314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mverma5854@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4310 Londonderry Rd Ste 202",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.