NPIMap

Individual provider Active NPI

Anupam Srivastava, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Enola, PA
National Provider Identifier
1831114784
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD 430149 Issued in PA
Practice address
2020 Good Hope Rd Ste 100
Enola, PA 17025-1237
Phone
(717) 728-3636
Fax
(717) 728-3640
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD 430149 PA Primary

Addresses

Primary practice location

2020 Good Hope Rd Ste 100
Enola, PA 17025-1237

Mailing address

2020 Good Hope Rd Ste 100
Enola, PA 17025-1237
Phone (717) 728-3636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address endopam@direct.practicefusion.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000635 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 5890785661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2020 Good Hope Rd
Suite 100
Enola, PA 17025-1237
Phone (717) 728-3636

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as individual
Quality
75.97
Promoting interoperability
69
Improvement activities
40
Cost
77.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 430149PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology of Central Pennsylvania, LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 11, 2013 Accepting new patients

Locations

2250 Millennium Way
Ste 401
Enola, PA 17025
Phone (717) 728-3636

2020 Good Hope Rd
Ste 100
Enola, PA 17025
Phone (717) 728-3636

Interoperability endpoints

  • Direct secure messaging: endopam@direct.practicefusion.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 and National Provider Directory roles.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1831114784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GOOD HOPE RD STE 100",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251237",
            "telephone_number": "717-728-3636",
            "fax_number": "717-728-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOOD HOPE RD STE 100",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251237",
            "telephone_number": "717-728-3636",
            "fax_number": "717-728-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "ANUPAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD 430149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "endopam@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "2020 Good Hope Rd Ste 100",
            "city": "Enola",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170251237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.