NPIMap

Individual provider Active NPI

Dimple Tejwani, M.D.

  • Pulmonary Disease Physician
  • Danville, PA
National Provider Identifier
1861668733
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD461570 Issued in PA
Practice address
100 North Academy Ave.
Danville, PA 17822-1341
Phone
(570) 271-6028
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 260915 NY
Pulmonary Disease Physician 207RP1001X 260915 NY
Pulmonary Disease Physician 207RP1001X MD461570 PA Primary

Addresses

Primary practice location

100 North Academy Ave.
Danville, PA 17822-1341

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

170 Maple Ave
Suite G1
White Plains, NY 10601-4710
Phone (914) 328-0932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtejwani149645@direct.geisinger.edu Direct

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
I20170905002951 PA Practitioner - Internal Medicine 4284894445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461570PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Aug 21, 2017 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 19, 2021 Accepting new patients
Geisinger Clinic CurrentSince Aug 21, 2017 Accepting new patients
Maple Medical, LLP Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Maple Medical LLP Critical Care Medicine Past Accepting new patients

Locations

6850 Lows Rd
Bloomsburg, PA 17815
Phone (570) 784-6243

100 N Academy Ave
Danville, PA 17822

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

Interoperability endpoints

  • Direct secure messaging: dtejwani149645@direct.geisinger.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1861668733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE.",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178221341",
            "telephone_number": "570-271-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Maple Ave",
            "address_2": "Suite G1",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014710",
            "country_code": "US",
            "telephone_number": "914-328-0932",
            "fax_number": "914-328-9851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEJWANI",
        "first_name": "DIMPLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "260915",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "260915",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD461570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtejwani149645@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 North Academy Ave.",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178221341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.