Individual provider Active NPI

Karam K Pathan, MD

  • Urology Physician
  • Indiana, PA
National Provider Identifier
1871594838
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD447396 Issued in PA
Practice address
590 Indian Springs Rd
Suite 4
Indiana, PA 15701-3600
Phone
(724) 349-6340
Fax
(724) 801-8721
NPI assigned
Aug 2, 2005
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4920 SD
Urology Physician 208800000X MD447396 PA Primary

Addresses

Primary practice location

590 Indian Springs Rd
Suite 4
Indiana, PA 15701-3600

Mailing address

590 Indian Springs Rd
Suite 4
Indiana, PA 15701-3600
Phone (724) 349-6340

Other identifiers 2

IdentifierTypeStateIssuer
7500420MedicaidSD
0008115OtherSDBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212003110 VA Practitioner - Urology 9335108448 Practice locations: Norton, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4920SDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1871594838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 INDIAN SPRINGS RD",
            "address_2": "SUITE 4",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013600",
            "telephone_number": "724-349-6340",
            "fax_number": "724-801-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 INDIAN SPRINGS RD",
            "address_2": "SUITE 4",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013600",
            "telephone_number": "724-349-6340",
            "fax_number": "724-801-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "KARAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SD",
            "license": "4920",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD447396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7500420",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0008115",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.