NPIMap

Individual provider Active NPI

Rajesh Surapaneni, M.D.

  • Hematology & Oncology Physician
  • Camp Hill, PA
National Provider Identifier
1902854904
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD422114 Issued in PA
Practice address
3912 Trindle Rd
Camp Hill, PA 17011-4246
Phone
(717) 761-8740
Fax
(717) 761-8792
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD422114 PA Primary

Addresses

Primary practice location

3912 Trindle Rd
Camp Hill, PA 17011-4246

Mailing address

3912 Trindle Rd
Camp Hill, PA 17011-4246
Phone (717) 761-8740

Other identifiers 2

IdentifierTypeStateIssuer
0009855260006MedicaidPA
19652970003MedicaidPA

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
I20060601000101 PA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4981615135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4518 Union Deposit Rd
Suite 201
Harrisburg, PA 17111-2921
Phone (717) 526-1030

Hospital & facility affiliations

  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Sep 1, 2018 Accepting new patients
Penn State Health Medical Group, LLC Hematology & Oncology Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

355 N 21st St
Ste 301
Camp Hill, PA 17011
Phone (717) 798-3720

3912 Trindle Rd
Camp Hill, PA 17011
Phone (717) 761-8740

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

4518 Union Deposit Rd
Ste 201
Harrisburg, PA 17111
Phone (717) 526-1030

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1902854904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114246",
            "telephone_number": "717-761-8740",
            "fax_number": "717-761-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114246",
            "telephone_number": "717-761-8740",
            "fax_number": "717-761-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAPANENI",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD422114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009855260006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19652970003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.