NPIMap

Individual provider Active NPI

Pratheesh Viswanathan, MD

  • Internal Medicine Physician
  • Lemoyne, PA
National Provider Identifier
1588655989
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD424770 Issued in PA
Practice address
108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045
Phone
(717) 774-1366
Fax
(717) 774-4232
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 MD424770 PA Primary

Addresses

Primary practice location

108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045

Mailing address

108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045
Phone (717) 774-1366

Other identifiers 1

IdentifierTypeStateIssuer
0018617100001MedicaidPA

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
I20040622000928 PA Practitioner - Internal Medicine 2466437686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internists of Central Pennsylvania LTD.Group PAC ID 7719875921, 17 clinicians

Practice addresses (Care Compare)

108 Lowther St
Lemoyne, PA 17043-2012
Phone (717) 774-1366

108 Lowther St
Lemoyne, PA 17043-2045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.85 of 100Reported as individual
Quality
35.1
Promoting interoperability
97
Improvement activities
40
Cost
80.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD424770PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pviswanathan@icp.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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1588655989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA LTD",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366",
            "fax_number": "717-774-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA LTD",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366",
            "fax_number": "717-774-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "PRATHEESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD424770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018617100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.