Individual provider Active NPI

Nadine Srouji, MD

  • Internal Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1700840279
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD068942L Issued in PA
Practice address
4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone
(717) 975-9800
Fax
(717) 975-5509
NPI assigned
Apr 13, 2006
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 MD068942L PA Primary

Addresses

Primary practice location

4400 Carlisle Pike
Camp Hill, PA 17011-4132

Mailing address

4400 Carlisle Pike
Camp Hill, PA 17011-4132
Phone (717) 975-9800

Other practice location 1

503 N 21st St
Camp Hill, PA 17011-2204
Phone (717) 972-4448

Other practice location 2

2020 Technology Pkwy Ste 3200
Mechanicsburg, PA 17050-9426
Phone (717) 988-1428

Other identifiers 6

IdentifierTypeStateIssuer
0019204280001MedicaidPA
SR1421777OtherPAHIGHMARK BLUE SHIELD
1841914OtherPAAETNA -HMO
20023157OtherPAAETNA
066356OtherPAMEDICARE NUMBER
P004990OtherPAGATEWAY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsrouji199005@phsdirect.pinnaclehealth.org

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
I20050104000380 PA Practitioner - Internal Medicine 5496703712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Hillman Cancer Center-PinnacleGroup PAC ID 4284044934, 42 clinicians

Practice addresses (Care Compare)

2020 Technology Pkwy
Suite 3200
Mechanicsburg, PA 17050-9426
Phone (717) 988-1428

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40
Cost
75.14

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Internal Medicine CurrentSince May 17, 2021 Accepting new patients
Upmc Hillman Cancer Center-Pinnacle CurrentSince Apr 1, 2024 Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780

2020 Technology Pkwy
Ste 3200
Mechanicsburg, PA 17050
Phone (717) 988-1428

Interoperability endpoints

  • Direct secure messaging: nsrouji304366@upmc.direct-ci.com

Organizations & group practices 5

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 7

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1700840279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132",
            "telephone_number": "717-975-9800",
            "fax_number": "717-975-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CARLISLE PIKE",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114132",
            "telephone_number": "717-975-9800",
            "fax_number": "717-975-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112204",
            "country_code": "US",
            "telephone_number": "717-972-4448",
            "fax_number": "717-972-7366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Technology Pkwy Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509426",
            "country_code": "US",
            "telephone_number": "717-988-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SROUJI",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD068942L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019204280001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "SR1421777",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA -HMO",
            "identifier": "1841914",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "20023157",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "066356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P004990",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsrouji199005@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4400 Carlisle Pike",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.