Individual provider Active NPI

Vicky Mukeshchandra Champaneria, M.D.

  • Internal Medicine Physician
  • West Reading, PA
National Provider Identifier
1689013518
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD459356 Issued in PA
Practice address
Sixth Avenue and Spruce Street
West Reading, PA 19611
Phone
(484) 628-5455
NPI assigned
Jun 25, 2013
Last updated
Dec 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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 MD459356 PA Primary

Addresses

Primary practice location

Sixth Avenue and Spruce Street
West Reading, PA 19611

Mailing address

Sixth Avenue and Spruce Street
West Reading, PA 19611
Phone (443) 523-5485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101000052 PA Practitioner - HospitalistPractitioner - Internal Medicine 7214215995 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Radiology Tower Health Medical Group
West Reading, PA 19611-1442
Phone (484) 628-8112

420 S 5TH Ave
West Reading, PA 19611-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Aug 15, 2023 Accepting new patients
Reading Professional Services Internal Medicine CurrentSince Oct 3, 2016 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Aug 15, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Oct 3, 2016 Accepting new patients
Phoenixville Clinic Company LLC Current Accepting new patients
Reading Hospital Internal Medicine Past Accepting new patients

Locations

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

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

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 8

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 9

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1689013518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SIXTH AVENUE AND SPRUCE STREET",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "443-523-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SIXTH AVENUE AND SPRUCE STREET",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "484-628-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPANERIA",
        "first_name": "VICKY",
        "middle_name": "MUKESHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD459356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.