Praveena Gandikota, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD440569 Issued in PA

Practice address

One Medical Center Blvd
Suite 424
Upland, PA 19013

Phone

(610) 338-1820

Fax

(610) 338-1825

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Endocrinology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Paoli Hospital Hospital, Paoli, PA, CCN 390153

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fornance Physician Services, Inc

  dba Family OB/GYN Center

  • Obstetrics & Gynecology Physician
  • Norristown, PA
  • NPI 1053363523
  Medicare reassignment Care Compare group NPD
• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Fornance Physician Services, Inc

  dba Endocrine Associates of Fornance

  • Endocrinology, Diabetes & Metabolism Physician
  • Lansdale, PA
  • NPI 1114206604
  NPD
• Fornance Physician Services, Inc.

  • Neurological Surgery Physician
  • Plymouth Meeting, PA
  • NPI 1699459388
  NPD
• Prospect Health Access Network, Inc.

  • Gastroenterology Physician
  • Chester, PA
  • NPI 1104273614
  NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Fornance Physician Services, Inc.

  dba Emergency Group Fornance

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1013997386
  NPD (past)
• Health Access Network

  • Endocrinology, Diabetes & Metabolism Physician
  • Chester, PA
  • NPI 1093900607
  NPD (past)
• Prospect Health Access Network, Inc.

  • Gynecologic Oncology Physician
  • Chester, PA
  • NPI 1134574775
  NPD (past)

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

• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Paoli Hospital

  • General Acute Care Hospital
  • Paoli, PA
  • NPI 1215042114
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1285849513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "SUITE 424",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-338-1820",
            "fax_number": "610-338-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "SUITE 424",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-338-1820",
            "fax_number": "610-338-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDIKOTA",
        "first_name": "PRAVEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD440569",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT 185538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole L Eisen, MD
• Lloyd Feigenbaum, MD
• Adam R Fisher, MD
• Ben Zion Friedman
• Steven Brad Gable, DO
• Sandra M Gawchik, DO
• Charles Moss Geller, MD
• Jeffrey Stephen George, MD
• Frank P Giammattei, MD
• Julia Elizabeth Knaus Godfrey, PA-C

• Endocrinology, Diabetes & Metabolism Physician in Upland, PA
• Providers in Upland, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.