NPIMap

Individual provider Active NPI

Amitha Padmanabhuni, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Berwyn, PA
National Provider Identifier
1306008818
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD437513 Issued in PA
Practice address
1001 Chesterbrook Blvd
Berwyn, PA 19312
Phone
(610) 576-7800
NPI assigned
Jun 26, 2008
Last updated
May 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD437513 PA Primary

Addresses

Primary practice location

1001 Chesterbrook Blvd
Berwyn, PA 19312

Mailing address

1001 Chesterbrook Blvd
Berwyn, PA 19312-3805
Phone (610) 576-7800

Other identifiers 3

IdentifierTypeStateIssuer
037276OtherPAMLHC MEDICARE AA #
824305OtherPABS AA #
1922077643OtherPAMLHC GROUP NPI #

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
I20090904000479 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 0749335230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

120 Valley Green Lane
Suite 510
King of Prussia, PA 19406
Phone (484) 324-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Endocrinology, Diabetes & Metabolism CurrentSince May 13, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince May 13, 2019 Accepting new patients
Main Line Healthcare Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2021 Accepting new patients
Fornance Physician Services, Inc Endocrinology, Diabetes & Metabolism Past Accepting new patients
Main Line Health Integrative and Functional Medicine PastSince Sep 1, 2021 Accepting new patients

Locations

1001 Chesterbrook Blvd
Berwyn, PA 19312
Phone (610) 576-7500

1001 Chesterbrook Blvd
Fl 3
Berwyn, PA 19312
Phone (610) 576-7500

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

830 Old Lancaster Rd
Ste 209
Bryn Mawr, PA 19010
Phone (610) 525-1061

120 Valley Green Ln
Ste 510
King of Prussia, PA 19406
Phone (484) 324-7100

2 W Baltimore Ave
Media, PA 19063
Phone (484) 227-0900

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1306008818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTERBROOK BLVD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193123805",
            "telephone_number": "610-576-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERBROOK BLVD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "19312",
            "telephone_number": "610-576-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANABHUNI",
        "first_name": "AMITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD437513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MLHC MEDICARE AA #",
            "identifier": "037276",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS AA #",
            "identifier": "824305",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MLHC GROUP NPI #",
            "identifier": "1922077643",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.