Active NPI
PV Pathanjali PV Sharma, MD
- Vascular Surgery Physician
- Reading, PA
National Provider Identifier
1619093630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD049830L
- Practice address
- 2494 Bernville Road
Suite 203
Reading, PA 19605-9453 - Phone
- (610) 378-2499
- Fax
- (610) 378-2989
- NPI assigned
- Mar 21, 2007
- Last updated
- Jan 31, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD049830L | PA | Primary |
Addresses
Primary practice location
2494 Bernville Road
Suite 203
Reading, PA 19605-9453
Mailing address
2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001429364000 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berks Vascular Institute, PC | Vascular Surgery | Past | Accepting new patients |
Interoperability endpoints
- pat.sharma@pshsj.cernerdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Reading, PA
- NPI 1902857485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1619093630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BERNVILLE RD",
"city": "READING",
"state": "PA",
"postal_code": "196059453",
"telephone_number": "610-378-2000",
"fax_number": "610-378-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 BERNVILLE ROAD",
"address_2": "SUITE 203",
"city": "READING",
"state": "PA",
"postal_code": "196059453",
"telephone_number": "610-378-2499",
"fax_number": "610-378-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "PV PATHANJALI",
"middle_name": "PV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD049830L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001429364000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.