Active NPI
Sukrut Pranav Nanavaty, MD
- Cardiovascular Disease Physician
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD459365
- Practice address
- 22 St Paul Dr Ste 201
Chambersburg, PA 17201 - Phone
- (717) 217-6944
- Fax
- (717) 217-6955
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT200776 | PA | |
| Internal Medicine Physician | 207R00000X | MD459365 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | MD459365 | PA | Primary |
Addresses
Primary practice location
22 St Paul Dr Ste 201
Chambersburg, PA 17201
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103
Other practice location 2
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6944
Other practice location 3
501 E Main St Fl 2
Waynesboro, PA 17268
Phone (717) 217-6944
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103242124 | Medicaid | PA | |
| 1528314838 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | snanavaty104538@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 S Washington St
Suite a
Gettysburg, PA 17325-2500
Phone (717) 339-3105
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD459365 | PA | MD | Internal Medicine Physician |
| MT200776 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Summit Physician Services | Internal Medicine | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103
22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020
22 St Paul Dr
Ste 201
Chambersburg, PA 17201
Phone (717) 217-6955
12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
100 N Academy Ave
Danville, PA 17822
450 S Washington St
Ste A
Gettysburg, PA 17325
Phone (717) 339-3105
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
501 E Main St
Fl 2
Waynesboro, PA 17268
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- snanavaty271681@wellspan.direct-ci.com
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Honesdale, PA
- NPI 1720495393
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Obstetrics & Gynecology Physician
- Gettysburg, PA
- NPI 1538266598
-
- Family Medicine Physician
- Chambersburg, PA
- NPI 1306840814
Internal Medicine
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- MC Connellsburg, PA
- NPI 1326044694
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1528314838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ST PAUL DR STE 201",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "17201",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955"
}
],
"practiceLocations": [
{
"address_1": "338 Alexander Spring Rd",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170159129",
"country_code": "US",
"telephone_number": "717-218-5103",
"fax_number": "717-303-3729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "17257",
"country_code": "US",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "17268",
"country_code": "US",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANAVATY",
"first_name": "SUKRUT",
"middle_name": "PRANAV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT200776",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD459365",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD459365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103242124",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1528314838",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "snanavaty104538@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "503 N 21st St",
"city": "Camp Hill",
"state": "PA",
"country_code": "US",
"postal_code": "17011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.