Individual provider Active NPI

Arun S Sawardekar, MD

  • Pediatrics Physician
  • Grove City, PA
National Provider Identifier
1932188927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD021089E Issued in PA
Practice address
635 W Main St
Grove City, PA 16127-1156
Phone
(724) 458-8044
Fax
(724) 458-1522
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD021089E PA Primary

Addresses

Primary practice location

635 W Main St
Grove City, PA 16127-1156

Mailing address

726 Enterprise Rd
Grove City, PA 16127-6102
Phone (724) 458-7586

Other identifiers 1

IdentifierTypeStateIssuer
0006094750001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD021089EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932188927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 ENTERPRISE RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161276102",
            "telephone_number": "724-458-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W MAIN ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271156",
            "telephone_number": "724-458-8044",
            "fax_number": "724-458-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWARDEKAR",
        "first_name": "ARUN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD021089E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006094750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.