Individual provider Active NPI

Patturajah Anbumani, M.D

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1558615427
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD071164L Issued in PA
Practice address
9500 Northeast Ave
Philadelphia, PA 19115-3005
Phone
(215) 677-4444
Fax
(215) 677-4466
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 MD071164L PA Primary

Addresses

Primary practice location

9500 Northeast Ave
Philadelphia, PA 19115-3005

Mailing address

1227 Serota PL
Philadelphia, PA 19115-2526
Phone (215) 673-5495

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
I20040901000532 PA Practitioner - Internal Medicine 0547235566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9500 Northeast Ave
Philadelphia, PA 19115-3005
Phone (215) 677-4444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071164LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kuruchi Srinivasan MD PC Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
LMC Physician Services, PC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patturajah.anbumani.2@17311.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17311/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1558615427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 SEROTA PL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152526",
            "telephone_number": "215-673-5495",
            "fax_number": "215-677-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 NORTHEAST AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153005",
            "telephone_number": "215-677-4444",
            "fax_number": "215-677-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANBUMANI",
        "first_name": "PATTURAJAH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD071164L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.