NPIMap

Individual provider Active NPI

Kishori Veerabhadrappa, M.D

  • Hematology & Oncology Physician
  • Dunmore, PA
National Provider Identifier
1275824781
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD446604 Issued in PA
Practice address
1100 Meade St
Dunmore, PA 18512-3169
Phone
(570) 342-3675
NPI assigned
May 2, 2011
Last updated
Dec 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 252374 NY
Hematology & Oncology Physician 207RH0003X MD446604 PA Primary

Addresses

Primary practice location

1100 Meade St
Dunmore, PA 18512-3169

Mailing address

1100 Meade St
Dunmore, PA 18512-3169
Phone (570) 342-3675

Other identifiers 1

IdentifierTypeStateIssuer
1027482470001MedicaidPA

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
I20120907000428 PA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7416105978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Meade St
Dunmore, PA 18512-3169
Phone (570) 342-3675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252374NYMDHematology & Oncology Physician
MD446604PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Hospital CurrentSince May 6, 2020 Accepting new patients
Hematology and Oncology Associates of Northeastern PA, PC Hematology & Oncology CurrentSince Sep 1, 2012 Accepting new patients
Wayne Memorial Hospital CurrentSince May 6, 2020 Accepting new patients

Locations

1100 Meade St
Dunmore, PA 18512
Phone (570) 342-3675

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

Interoperability endpoints

  • Direct secure messaging: kveerabhadrappa@hemonc1.direct.varian.com

Organizations & group practices 3

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1275824781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEADE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123169",
            "telephone_number": "570-342-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERABHADRAPPA",
        "first_name": "KISHORI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "252374",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD446604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027482470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.