NPIMap

Individual provider Active NPI

Renishkumar Jaysukhlal Viradiya, M.D.

  • Internal Medicine Physician
  • East Stroudsburg, PA
National Provider Identifier
1487967493
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440743 Issued in PA
Practice address
206 E Brown St
East Stroudsburg, PA 18301-3006
Phone
(570) 421-4000
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD440743 PA Primary

Addresses

Primary practice location

206 E Brown St
East Stroudsburg, PA 18301-3006

Mailing address

206 East Brown St
Pocono Healthcare Management-Professional Center
East Stroudsburg, PA 18360-2530
Phone (570) 420-4951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101025000443 PA Practitioner - HospitalistPractitioner - Internal Medicine 3274726088 Reassigns benefits to 4 organizations
I20141021000889 NJ Practitioner - Internal MedicinePractitioner - Hospitalist 3274726088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians

Practice addresses (Care Compare)

206 E Brown St
Pocono Medical Center
East Stroudsburg, PA 18301-3094
Phone (570) 421-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine PC CurrentSince Jul 15, 2018 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Feb 11, 2019 Accepting new patients
Advanced Inpatient Medicine Lehigh PC CurrentSince Jul 15, 2018 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Pennsylvania HM Associates PC CurrentSince Aug 1, 2013 Accepting new patients
Advanced Inpatient Medicine Associates PC CurrentSince Jul 15, 2018 Accepting new patients
Lehigh Valley Hospital Pocono Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

175 High St
Newton, NJ 07860
Phone (973) 383-2121

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 8

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1487967493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EAST BROWN ST",
            "address_2": "POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183602530",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-421-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRADIYA",
        "first_name": "RENISHKUMAR",
        "middle_name": "JAYSUKHLAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.