Individual provider Active NPI

Pushpa Viswanathan

  • Pediatric Endocrinology Physician
  • Hawthorne, NY
National Provider Identifier
1316113012
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
327545-01 Issued in NY
Practice address
19 Bradhurst Ave
Hawthorne, NY 10532-2140
Phone
(914) 366-3400
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X MD073483L PA
Pediatric Endocrinology Physician 2080P0205X 327545-01 NY Primary

Addresses

Primary practice location

19 Bradhurst Ave
Hawthorne, NY 10532-2140

Mailing address

400 Columbus Ave
Valhalla, NY 10595-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080909000584 PA Practitioner - Pediatric MedicinePractitioner - Endocrinology 5496821803 Reassigns benefits to 1 organization
I20240425001883 NY Practitioner - Pediatric MedicinePractitioner - Endocrinology 5496821803 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327545-01NYMDPediatric Endocrinology Physician
MD073483LPAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Jun 1, 2024 Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Jul 11, 2010 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jun 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 11, 2010 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

1 S Greeley Ave
Ste 303
Chappaqua, NY 10514
Phone (914) 238-0801

19 Bradhurst Ave
Ste 2900
Hawthorne, NY 10532
Phone (914) 313-3937

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416

400 Columbus Ave
Valhalla, NY 10595
Phone (203) 883-0038

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pushpa.viswanathan.p1@direct.cwpw.nextgenshare.com

Organizations & group practices 7

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1316113012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-366-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "PUSHPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PA",
            "license": "MD073483L",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "327545-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.