NPIMap

Individual provider Active NPI

Mayurathan Kesavan, M.D

  • Gastroenterology Physician
  • Doylestown, PA
National Provider Identifier
1851687958
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD461185 Issued in PA
Practice address
599 W State St Ste 200
Doylestown, PA 18901-2567
Phone
(215) 345-6050
Fax
(215) 345-6568
NPI assigned
Jun 27, 2011
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD461185 PA Primary

Addresses

Primary practice location

599 W State St Ste 200
Doylestown, PA 18901-2567

Mailing address

PO Box 829641
Philadelphia, PA 19182-9641
Phone (672) 370-5296

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
I20170815000368 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 2961718663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

599 W State St
Doylestown, PA 18901-2567
Phone (215) 345-6050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy175
Upper gastrointestinal (GI) endoscopy for acid reflux127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461185PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Multi-Specialty Current Accepting new patients
Clinical Specialty Associates Multi-Specialty Current Accepting new patients
DLP Conemaugh Physician Practices LLC Multi-Specialty CurrentSince Sep 1, 2017 Accepting new patients
Via Affiliates CurrentSince Apr 28, 2022 Accepting new patients
Via Affiliates CurrentSince Apr 28, 2022 Accepting new patients
Clinical Specialty Associates Multi-Specialty CurrentSince Aug 2, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Multi-Specialty Current Accepting new patients
Clinical Specialty Associates Multi-Specialty CurrentSince Aug 2, 2025 Accepting new patients
Windber Hospital, Inc. Multi-Specialty Past Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 200
Doylestown, PA 18901
Phone (215) 345-6050

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

2189 2nd Street Pike
Ste 200
Newtown, PA 18940
Phone (215) 345-0105

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Interoperability endpoints

  • Direct secure messaging: mayurathan.kesavan@dhcp.eclinicaldirectplus.com

Organizations & group practices 9

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 2

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1851687958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191829641",
            "telephone_number": "672-370-5296",
            "fax_number": "152-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE ST STE 200",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-345-6050",
            "fax_number": "215-345-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESAVAN",
        "first_name": "MAYURATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD461185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.