Active NPI
Arjun Kalyanpur, M.D.
- Diagnostic Radiology Physician
- Ardmore, PA
National Provider Identifier
1376528315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD418327
- Practice address
- 22 Llanfair Rd Unit 6
Ardmore, PA 19003-2320 - Phone
- (610) 785-6327
- Fax
- (775) 242-2409
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A81037 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 34824 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | MD418327 | PA | Primary |
Addresses
Primary practice location
22 Llanfair Rd Unit 6
Ardmore, PA 19003-2320
Mailing address
22 Llanfair Rd Unit 6
Ardmore, PA 19003-2320
Phone (610) 785-6327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81037 | CA | MD | Diagnostic Radiology Physician |
| 34824 | CT | MD | Diagnostic Radiology Physician |
| MD418327 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teleradiology Solutions PC | Diagnostic Radiology | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- akalyanur2943159@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Ardmore, PA
- NPI 1972908739
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1376528315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 LLANFAIR RD UNIT 6",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032320",
"telephone_number": "610-785-6327",
"fax_number": "775-242-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 LLANFAIR RD UNIT 6",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032320",
"telephone_number": "610-785-6327",
"fax_number": "775-242-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALYANPUR",
"first_name": "ARJUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A81037",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "34824",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD418327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.