NPIMap

Individual provider Active NPI

Monodeep Biswas, MD

  • Cardiovascular Disease Physician
  • Ephrata, PA
National Provider Identifier
1669785879
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD459064 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522-1724
Phone
(717) 721-4740
Fax
(717) 738-6872
NPI assigned
Jul 16, 2010
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD459064 PA
Cardiovascular Disease Physician 207RC0000X MD459064 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1724

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 721-4740

Other practice location 1

1697 Crown Ave
Lancaster, PA 17601-6310
Phone (717) 299-5000

Other identifiers 1

IdentifierTypeStateIssuer
1032364680001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbiswas279378@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20170119000055 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698076388 Reassigns benefits to 3 organizations
I20240703004216 MD Practitioner - Cardiovascular Disease (Cardiology) 5698076388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1697 Crown Ave
Lancaster, PA 17601-6310
Phone (717) 299-5000

2160 State Rd
Lancaster, PA 17601-1812
Phone (223) 287-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD459064PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jun 1, 2024 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Jun 11, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jun 11, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Pinnacle Health Medical Services Internal Medicine Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3585 Washington Blvd
Halethorpe, MD 21227

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

1697 Crown Ave
Lancaster, PA 17601
Phone (717) 299-5000

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

1555 Highlands Dr
Ste 100
Lititz, PA 17543
Phone (717) 299-5000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: mbiswas435792@upmc.direct-ci.com

Organizations & group practices 11

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1669785879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-721-4740",
            "fax_number": "717-738-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-721-4740",
            "fax_number": "717-738-6872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1697 Crown Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016310",
            "country_code": "US",
            "telephone_number": "717-299-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISWAS",
        "first_name": "MONODEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD459064",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD459064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032364680001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbiswas279378@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1697 Crown Ave",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176016310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.