Individual provider Active NPI

Sukrut Pranav Nanavaty, MD

  • Cardiovascular Disease Physician
  • Chambersburg, PA
National Provider Identifier
1528314838
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD459365 Issued in PA
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

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103242124MedicaidPA
1528314838OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170217000674 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608178173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

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

LicenseStateTypeSpecialty
MD459365PAMDInternal Medicine Physician
MT200776PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 14, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Aug 14, 2023 Accepting new patients
Geisinger Clinic CurrentSince Aug 30, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Aug 30, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 14

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

View all 14

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

Verify at the official NPI Registry.