Active NPI
Puniya Khatiwada, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD458698
- Practice address
- 292 Saint Charles Way
York, PA 17402-4648 - Phone
- (717) 851-6231
- Fax
- (717) 741-1719
- NPI assigned
- May 9, 2011
- Last updated
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD458698 | PA | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101267875 | VA |
Addresses
Primary practice location
292 Saint Charles Way
York, PA 17402-4648
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
292 Saint Charles Way
York, PA 17402-4648
Phone (717) 851-6040
296 St Charles Way
York, PA 17402-4648
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
292 Saint Charles Way
York, PA 17402
Phone (717) 851-6231
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
601 Memory Ln
#601
York, PA 17402
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
200 Park Ave
Falls Church, VA 22046
Phone (571) 634-3636
Interoperability endpoints
- pkhatiwada410024@wellspan.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1487946562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 SAINT CHARLES WAY",
"city": "YORK",
"state": "PA",
"postal_code": "174024648",
"telephone_number": "717-851-6231",
"fax_number": "717-741-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATIWADA",
"first_name": "PUNIYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD458698",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101267875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.