NPIMap

Individual provider Active NPI

Mausaminben Yunusali Hathidara, M.D.

  • Vascular Neurology Physician
  • Altoona, PA
National Provider Identifier
1487036265
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
MD46944 Issued in PA
Practice address
501 Howard Ave Ste E3
Altoona, PA 16601-4817
Phone
(814) 889-3930
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X MD46944 PA Primary

Addresses

Primary practice location

501 Howard Ave Ste E3
Altoona, PA 16601-4817

Mailing address

101 NE 53Rd St Apt 2709
Oklahoma City, OK 73105-1862
Phone (832) 781-9433

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
I20200819002499 PA Practitioner - Neurology 1658797790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1350 Locust St
Pittsburgh, PA 15219-4738

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

3471 5TH Ave
Suite 810
Pittsburgh, PA 15213-3206
Phone (412) 692-4920

501 Howard Ave
Altoona, PA 16601-4810
Phone (814) 889-2626

501 Howard Ave
E3 Department of Neurosurgery
Altoona, PA 16601-4817
Phone (814) 889-3930

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117
  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD46944PAMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Susquehanna Physician Services Neurology CurrentSince Oct 29, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc Neurology CurrentSince Sep 1, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Susquehanna Physician Services CurrentSince Oct 29, 2020 Accepting new patients
University of Pittsburgh Physicians Neurology CurrentSince Jul 1, 2020 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

501 Howard Ave
Ste F3
Altoona, PA 16601
Phone (814) 943-7777

501 Howard Ave
Ste E3
Altoona, PA 16601
Phone (814) 889-3930

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607

700 High St
#P
Williamsport, PA 17701
Phone (570) 321-2619

740 High St
Ste 3002
Williamsport, PA 17701
Phone (570) 321-2820

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

Interoperability endpoints

  • Direct secure messaging: mhathidara113358@upmc.direct-ci.com

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1487036265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NE 53RD ST APT 2709",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731051862",
            "telephone_number": "832-781-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE E3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014817",
            "telephone_number": "814-889-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHIDARA",
        "first_name": "MAUSAMINBEN",
        "middle_name": "YUNUSALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "PA",
            "license": "MD46944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.