NPIMap

Individual provider Active NPI

Suneetha Vaddineni, MD

  • Nephrology Physician
  • Harrisburg, PA
National Provider Identifier
1891953592
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD433873 Issued in PA
Practice address
4700 Union Deposit Rd
Suite 240
Harrisburg, PA 17111-3774
Phone
(717) 526-4474
Fax
(717) 526-4476
NPI assigned
May 29, 2008
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD433873 PA Primary

Addresses

Primary practice location

4700 Union Deposit Rd
Suite 240
Harrisburg, PA 17111-3774

Mailing address

PO Box 517
Hazleton, PA 18201-0517
Phone (570) 450-6200

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
I20080806000141 PA Practitioner - NephrologyPractitioner - Internal Medicine 5991879157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Kidney Disease and Hypertension LLCGroup PAC ID 3577664184, 8 clinicians

Practice addresses (Care Compare)

1023 Mumma Rd
Wormleysburg, PA 17043-1164
Phone (717) 737-3377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433873PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Kidney Disease and Hypertension, LLC Nephrology CurrentSince Aug 13, 2018 Accepting new patients

Locations

1023 Mumma Rd
Wormleysburg, PA 17043
Phone (717) 732-3377

Organizations & group practices 2

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1891953592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182010517",
            "telephone_number": "570-450-6200",
            "fax_number": "570-450-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 UNION DEPOSIT RD",
            "address_2": "SUITE 240",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113774",
            "telephone_number": "717-526-4474",
            "fax_number": "717-526-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADDINENI",
        "first_name": "SUNEETHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD433873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.