NPIMap

Individual provider Active NPI

Moushumi Kundu, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Hanover, PA
National Provider Identifier
1851499834
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD069934L Issued in PA
Practice address
250 Fame Ave Ste 206a
Hanover, PA 17331-1587
Phone
(717) 316-2248
Fax
(717) 316-7712
NPI assigned
Sep 21, 2006
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD069934L PA
Internal Medicine Physician 207R00000X C10006229 DE
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD069934L PA Primary

Addresses

Primary practice location

250 Fame Ave Ste 206a
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 235
Hanover, PA 17331-1587
Phone (717) 646-7385

Other identifiers 2

IdentifierTypeStateIssuer
1000028556MedicaidDE
102433776MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkundu86220@phsdirect.pinnaclehealth.org

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
I20090701000019 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9931250099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

250 Fame Ave
Hanover, PA 17331-1587

250 Fame Ave
Suite 235
Hanover, PA 17331-1576
Phone (717) 646-7011

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
C10006229DEMDInternal Medicine Physician
MD069934LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Internal Medicine of Bridgeville Internal Medicine Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Kenneth R Smith MD Internal Medicine Past Accepting new patients

Locations

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

250 Fame Ave
Ste 206A
Hanover, PA 17331
Phone (717) 316-2248

250 Fame Ave
Ste 235
Hanover, PA 17331
Phone (717) 646-7011

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

300 W King St
Littlestown, PA 17340
Phone (717) 359-9214

5615 York Rd
New Oxford, PA 17350
Phone (717) 624-1337

Interoperability endpoints

  • Direct secure messaging: mkundu293626@upmc.direct-ci.com

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1851499834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 235",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-7385",
            "fax_number": "717-632-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 206A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-316-2248",
            "fax_number": "717-316-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDU",
        "first_name": "MOUSHUMI",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD069934L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10006229",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD069934L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000028556",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102433776",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkundu86220@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "250 Fame Ave Ste 206A",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173311587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.