NPIMap

Individual provider Active NPI

Supriana Kaur Bhandol, MD

  • Family Medicine Physician
  • Scranton, PA
National Provider Identifier
1568088375
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481123 Issued in PA
Practice address
501 S. Washington Avenue
Scranton, PA 18505
Phone
(570) 343-2383
Fax
(570) 343-4800
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA
Family Medicine Physician 207Q00000X MD481123 PA Primary

Addresses

Primary practice location

501 S. Washington Avenue
Scranton, PA 18505

Mailing address

The Wright Center for Graduate Medical Education
501 S. Washington Avenue
Scranton, PA 18505
Phone (570) 343-2383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231114000514 PA Practitioner - Family Practice 6406251677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Wright Center Medical GroupGroup PAC ID 6305841230, 38 clinicians

Practice addresses (Care Compare)

501 S Washington Ave
Suite 1000
Scranton, PA 18505-3805
Phone (570) 343-2383

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group Family Medicine CurrentSince Nov 20, 2023 Accepting new patients
The Wright Center Medical Group Family Medicine CurrentSince Jun 21, 2020 Accepting new patients

Locations

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

501 S Washington Ave
Scranton, PA 18505
Phone (570) 591-5153

329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Interoperability endpoints

  • Direct secure messaging: suprianab@thewrightcenter.medentdirect.com

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1568088375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION",
            "address_2": "501 S. WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S. WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDOL",
        "first_name": "SUPRIANA",
        "middle_name": "KAUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.