Individual provider Active NPI

Nishikanta Singh Elangbam, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1366933723
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD475129 Issued in PA
Practice address
2451 Grant Ave
Philadelphia, PA 19114-1031
Phone
(215) 934-3471
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD475129 PA Primary
Family Medicine Physician 207Q00000X MT215211 PA

Addresses

Primary practice location

2451 Grant Ave
Philadelphia, PA 19114-1031

Mailing address

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 934-3471

Other practice location 1

1431 Nursery St Ste 101B
Fogelsville, PA 18051-1612
Phone (484) 273-4370

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
I20210922003226 PA Practitioner - Family Practice 2769730969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson Acute Care Physicians PCGroup PAC ID 7810215613, 31 clinicians

Practice addresses (Care Compare)

700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
71.88
Promoting interoperability
100
Improvement activities
40
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT215211PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Nov 12, 2025 Accepting new patients
Jefferson Acute Care Physicians, PC Current Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Nov 1, 2022 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Nov 1, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Nov 12, 2025 Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

5024 Pennell Rd
Aston, PA 19014
Phone (484) 456-1257

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

1431 Nursery St
Ste 101A
Fogelsville, PA 18051
Phone (610) 336-8260

1431 Nursery St
Ste 101B
Fogelsville, PA 18051
Phone (484) 273-4370

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 8

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 1

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1366933723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141031",
            "telephone_number": "215-934-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141031",
            "telephone_number": "215-934-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Nursery St Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Fogelsville",
            "state": "PA",
            "postal_code": "180511612",
            "country_code": "US",
            "telephone_number": "484-273-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELANGBAM",
        "first_name": "NISHIKANTA",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD475129",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT215211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.