Active NPI
Kamini Krishnaswamy Jagdish, MD
- Internal Medicine Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD449474
- Practice address
- 250 College Ave
Lancaster, PA 17603-3363 - Phone
- (717) 231-8772
- Fax
- (717) 231-8435
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 215334 | NY | |
| Internal Medicine Physician | 207R00000X | MD449474 | PA | Primary |
Addresses
Primary practice location
250 College Ave
Lancaster, PA 17603-3363
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 231-8698
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00391113 | Other | NY | MEDICARE RAILROAD |
| WORKER'S COMPENSATIO | Other | NY | 215334-W CIM |
| 02283329 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Hospitalist Services LLC | Internal Medicine | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Internal Medicine | Current | Accepting new patients |
| Internal Medicine at Lakeside | Internal Medicine | Past | Accepting new patients |
| Rochester Vascular Medicine, PC | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
250 College Ave
Lancaster, PA 17603
Phone (717) 291-8211
250 College Ave
Fl 5
Lancaster, PA 17603
Phone (717) 291-8512
1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000
4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Internal Medicine
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
- Infectious Disease Physician
- York, PA
- NPI 1477073666
-
- Internal Medicine Physician
- Brockport, NY
- NPI 1083939722
-
- Vascular Surgery Physician
- Rochester, NY
- NPI 1942488309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891758504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-231-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 COLLEGE AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033363",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGDISH",
"first_name": "KAMINI",
"middle_name": "KRISHNASWAMY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "215334",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD449474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00391113",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "215334-W CIM",
"identifier": "WORKER'S COMPENSATIO",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02283329",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.