Individual provider Active NPI

Nivedita Boinapally, MD

  • Hospitalist Physician
  • Chambersburg, PA
National Provider Identifier
1912912585
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD071648L Issued in PA
Practice address
112 N 7TH St
Chambersburg, PA 17201-1720
Phone
(717) 217-4300
Fax
(717) 217-4399
NPI assigned
Jul 30, 2006
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD071648L PA
Hospitalist Physician 208M00000X MD071648L PA Primary

Addresses

Primary practice location

112 N 7TH St
Chambersburg, PA 17201-1720

Mailing address

785 5TH Ave
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other identifiers 17

IdentifierTypeStateIssuer
001811880MedicaidPA
193126OtherPAUNISON-WMG CFA
50066448OtherPACAPITAL BC-WMG READYCARE
607889OtherMDCAREFIRST MD BCBS
P002815OtherPAGATEWAY-WMG
02113702OtherPACAPITAL BC-WMG YFM
039277OtherPAJOHNS HOPKINS
65738OtherPAGEISINGER
110500OtherPAUNISON-WMG YFM
20064069OtherPAAMERIHEALTH MERCY - WMG
202294OtherPAUNISON-WMG READYCARE
2161250OtherPAMAMSI-WMG READYCARE
7781478OtherPAAETNA
777707OtherPAHIGHMARK BLUE SHIELD
1142408OtherPAAMERIHEALTH MERCY-WMG
283462OtherPAMAMSI-WMG
50063724OtherPACAPITAL BC-WMG CFA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000346 PA Practitioner - Family PracticePractitioner - Hospitalist 3274563374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1575 Bannister St
Suite 1
York, PA 17404-4946
Phone (717) 812-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Sep 1, 2000 Accepting new patients
York Hospital CurrentSince Jul 18, 2017 Accepting new patients
York Hospital CurrentSince Jul 18, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

785 5th Ave
Ste 3
Chambersburg, PA 17201

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1575 Bannister St
York, PA 17404
Phone (717) 812-2000

1575 Bannister St
Ste 1
York, PA 17404
Phone (717) 812-2000

1600 S George St
York, PA 17403
Phone (717) 848-3615

1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Interoperability endpoints

  • Direct secure messaging: nboinapally13755@wellspan.direct-ci.com

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

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1912912585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE",
            "address_2": "SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011720",
            "telephone_number": "717-217-4300",
            "fax_number": "717-217-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOINAPALLY",
        "first_name": "NIVEDITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071648L",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD071648L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001811880",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG CFA",
            "identifier": "193126",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC-WMG READYCARE",
            "identifier": "50066448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "607889",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "P002815",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC-WMG YFM",
            "identifier": "02113702",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "039277",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "65738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG YFM",
            "identifier": "110500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WMG",
            "identifier": "20064069",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG READYCARE",
            "identifier": "202294",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG READYCARE",
            "identifier": "2161250",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7781478",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "777707",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "1142408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG",
            "identifier": "283462",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC-WMG CFA",
            "identifier": "50063724",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.