NPIMap

Individual provider Active NPI

Premnath Narahari, MD

  • Gastroenterology Physician
  • Lebanon, PA
National Provider Identifier
1669440186
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD041165E Issued in PA
Practice address
954 Isabel Dr
Lebanon, PA 17042-7482
Phone
(717) 376-1180
Fax
(717) 273-6937
NPI assigned
Mar 10, 2006
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD041165E PA Primary

Addresses

Primary practice location

954 Isabel Dr
Lebanon, PA 17042-7482

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

4150 Barrett Blvd Ste 200
Ephrata, PA 17522-8979
Phone (717) 738-5648

Other identifiers 4

IdentifierTypeStateIssuer
532504OtherPABLUE SHIELD
34FI5OtherFLBCBS
0011522680002MedicaidPA
017525100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091221000343 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 6002956133 Reassigns benefits to 1 organization
I20160728000683 FL Practitioner - Gastroenterology 6002956133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1978
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)

954 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 273-6937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy72
Upper gastrointestinal (GI) endoscopy for acid reflux87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Feb 4, 2019 Accepting new patients
Gastroenterology Associates of Pensacola PA Gastroenterology CurrentSince Jun 1, 2016 Accepting new patients
Wellspan Medical Group CurrentSince Feb 4, 2019 Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Gastrointestinal Consultants Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4810 N Davis Hwy
Pensacola, FL 32503
Phone (850) 474-8988

4828 N Davis Hwy
Pensacola, FL 32503

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

4150 Barrett Blvd
Ste 200
Ephrata, PA 17522
Phone (717) 738-5648

350 Southmont Blvd
Johnstown, PA 15905
Phone (814) 535-2511

954 Isabel Dr
Lebanon, PA 17042
Phone (717) 376-1180

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: pnarahari164574@wellspan.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1669440186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-376-1180",
            "fax_number": "717-273-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-738-5648",
            "fax_number": "717-327-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARAHARI",
        "first_name": "PREMNATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD041165E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "532504",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34FI5",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011522680002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017525100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.