Irphan E. Gaslightwala, M.D.
Individual provider Active NPI Gastroenterology Physician · Port Matilda, PA
NPI 1376572370 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1376572370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD428976 (PA)
- Practice address
- 132 Abigail LN
Port Matilda, PA 16870-7153 - Phone
- (814) 272-5011
- Fax
- (814) 272-6531
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 40
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Baylor College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
200 Scenery Dr
State College, PA 16801-7974
Phone (814) 231-4560
Hospital & facility affiliations
- Geisinger-Lewistown Hospital
- Geisinger Medical Center
- Mount Nittany Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 235 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 141 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060724000263 | PA | Practitioner - Gastroenterology |
9931112687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473
132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011
200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560
Interoperability endpoints
- igaslightwala27645@direct.geisinger.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD428976 | PA | Yes |
Addresses
Primary practice location
132 Abigail LN
Port Matilda, PA 16870-7153
Mailing address
100 N Academy Ave
Credentials Dept
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016573710001 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | igaslightwala27645@direct.geisinger.edu | Direct |
NPI Registry JSON
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1376572370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"address_2": "CREDENTIALS DEPT",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 ABIGAIL LN",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707153",
"telephone_number": "814-272-5011",
"fax_number": "814-272-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASLIGHTWALA",
"first_name": "IRPHAN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD428976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016573710001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "igaslightwala27645@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "132 Abigail Ln",
"city": "Port Matilda",
"state": "PA",
"country_code": "US",
"postal_code": "168707153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Matilda, PA
- Linda Franchock
- Adam C. Frank
- Renee L Frank
- Gallagher Counseling LLC
- Clara Yenisel Garcia Lago
- Geisinger Clinic
- Geisinger Lewistown Hospital
- Geisinger Lewistown Hospital
- Shaheen M. Gill
- Rana Y Glick
All providers in Port Matilda, PA · Gastroenterology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.