Pavan Kumar Ananth, M.D.

Key facts

NPI

1396148573

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

298225 (NY)

Practice address

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111

Phone

(914) 736-6180

NPI assigned

Oct 2, 2014

Sex

Male

Sole proprietor

No

Organizations & group practices 11

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.

• Lawrence Medical Associates, PC Internal Medicine Physician · Yorktown Heights, NY · NPI 1023257441
  Medicare reassignment NPD NY
• Metropolitan Medical Practice Plan PC General Practice Physician · New York, NY · NPI 1306138383
  Medicare reassignment NPD NY
• Physician Affiliate Group of New York PC Registered Dietitian · New York, NY · NPI 1013375526
  Medicare reassignment NPD NY
• Sun River Health Inc Federally Qualified Health Center (FQHC) · Amenia, NY · NPI 1568526838
  Medicare reassignment NPD NY
• The Westchester Medical Practice, PC Specialist · Yorktown Heights, NY · NPI 1225222953
  Medicare reassignment NPD NY
• Trustees of Columbia University in the City of New York Surgery Physician · New York, NY · NPI 1508266347
  Medicare reassignment NPD NY · OBSTETRICS & GYNECOLOGY
• Lawrence Medical Associates, PC Multi-Specialty Clinic/Center · Yorktown Heights, NY · NPI 1184115479
  NPD
• Sun River Health Inc. Federally Qualified Health Center (FQHC) · Peekskill, NY · NPI 1619969458
  NPD
• The Westchester Medical Practice, PC Multi-Specialty Clinic/Center · Cortlandt Manor, NY · NPI 1982109120
  NPD
• Trustees of Columbia University in the City of New York Internal Medicine Physician · New York, NY · NPI 1699289488
  NPD
• New York City Health and Hospitals Corporation General Acute Care Hospital · New York, NY · NPI 1013924372
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (11 of 15)

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: pananth841203@nychhc.direct-ci.com
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: paa9103@direct.weillcornell.org
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2019.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1396148573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E 93RD ST APT 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285582",
            "telephone_number": "614-554-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674111",
            "telephone_number": "914-736-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "212-423-6798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Peachtree Dunwoody Rd Ste 276",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "614-554-5906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANTH",
        "first_name": "PAVAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "80556",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "298225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

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• Natalie Alvarez, MD
• Nadia Naz Amin, M.D.
• Emmanuel Amoyaw Jr.
• Ananda Seva Medical PC
• Maxwell Tyler Anderson, ATC/LAT, OPE-C
• Catherine Anesi, LCSW
• Alison Jill Angelini, MA CCC-SLP
• Maridanielle D. Annicchiarico, PA
• Jessica Anson, LMSW

All providers in Cortlandt Manor, NY · Obstetrics & Gynecology Physician in New York