Individual provider Active NPI

Vikram Singh Panwar, M.D

  • Psychiatry Physician
  • Ridgway, PA
National Provider Identifier
1922493899
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD478647 Issued in PA
Practice address
43 Servidea Dr
Ridgway, PA 15853-6333
Phone
(814) 776-2145
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD478647 PA Primary

Addresses

Primary practice location

43 Servidea Dr
Ridgway, PA 15853-6333

Mailing address

800 E Main St
Bradford, PA 16701-3278

Other practice location 1

734 E Main St
Bradford, PA 16701-3243
Phone (814) 362-2800

Other identifiers 1

IdentifierTypeStateIssuer
1044340480001MedicaidPA

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
I20250131001430 PA Practitioner - Psychiatry 9234436767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dickinson Center, IncGroup PAC ID 3870489131, 11 clinicians
Deerfield Behavioral Health of Warren, LLCGroup PAC ID 8325935661, 8 clinicians

Practice addresses (Care Compare)

43 Servidea Dr
Ridgway, PA 15853-6333
Phone (814) 766-2145

734 E Main St
Bradford, PA 16701-3243
Phone (814) 817-1400

Hospital & facility affiliations

  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD478647PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Center, Inc Single Specialty CurrentSince Jan 28, 2025 Accepting new patients
Deerfield Behavioral Health of Warren, LLC Single Specialty CurrentSince Jan 28, 2025 Accepting new patients

Locations

47 Beacon Light Way
Bradford, PA 16701

23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

1 N Main St
Coudersport, PA 16915
Phone (814) 274-8651

43 Servidea Dr
Ridgway, PA 15853
Phone (814) 776-0225

808 S Michael St
Saint Marys, PA 15857
Phone (814) 834-9722

1885 Market St
Warren, PA 16365
Phone (814) 723-1832

1003 Pennsylvania Ave W
Warren, PA 16365
Phone (814) 723-5545

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1922493899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013278",
            "fax_number": "913-588-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SERVIDEA DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158536333",
            "telephone_number": "814-776-2145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167013243",
            "country_code": "US",
            "telephone_number": "814-362-2800",
            "fax_number": "913-588-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANWAR",
        "first_name": "VIKRAM",
        "middle_name": "SINGH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD478647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044340480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, PA

Sources for this page

Verify at the official NPI Registry.