NPIMap

Individual provider Active NPI

Hemal Gada, MD

  • Cardiovascular Disease Physician
  • Wormleysburg, PA
National Provider Identifier
1386852390
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD456155 Issued in PA
Practice address
1000 N Front St
Wormleysburg, PA 17043-1021
Phone
(717) 731-0101
Fax
(717) 731-8539
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD456155 PA
Cardiovascular Disease Physician 207RC0000X MD456155 PA Primary

Addresses

Primary practice location

1000 N Front St
Wormleysburg, PA 17043-1021

Mailing address

1000 N Front St
Wormleysburg, PA 17043-1021

Other identifiers 1

IdentifierTypeStateIssuer
103056503MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgada7277@phsdirect.pinnaclehealth.org

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
I20151014000740 PA Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4880769728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Altoona LLPGroup PAC ID 0042367476, 21 clinicians
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

1321 11TH Ave
Altoona, PA 16601-3301
Phone (814) 942-2411

290 Haida Ave
Hastings, PA 16646-5610
Phone (814) 247-3100

Hospital & facility affiliations

  • Conemaugh Nason Medical Center Hospital, Roaring Spring, PA, CCN 390062
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456155PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Oct 6, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 6, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Cardiology Associates of Altoona, LLP Cardiovascular Disease CurrentSince Sep 15, 2025 Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Trustees Columbia University City Ny Center Interventional Vascular TH Interventional Cardiology Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

1321 11th Ave
Altoona, PA 16601
Phone (814) 942-2411

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

Interoperability endpoints

  • Direct secure messaging: drgada@caa.medentdirect.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1386852390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431021",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADA",
        "first_name": "HEMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD456155",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD456155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103056503",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgada7277@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1000 N Front St",
            "city": "Wormleysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.