Individual provider Active NPI

Vishwanath M.B. Khajuri, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1932202389
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047512 Y Issued in PA
Practice address
University Drive C
Pittsburgh, PA 15240
Phone
(412) 688-6322
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD047512 Y PA Primary

Addresses

Primary practice location

University Drive C
Pittsburgh, PA 15240

Mailing address

434 Ashbury CT
Monroeville, PA 15146-1809
Phone (412) 373-1760

Other identifiers 1

IdentifierTypeStateIssuer
1124353388OtherPALIFECARE PHYSICIAN GROUP MEDICARE GROUP BILLING NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047512 YPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 7, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Jan 7, 2018 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Internal Medicine Current Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Dec 17, 2017 Accepting new patients
DLP Meyersdale Medical Center LLC CurrentSince Dec 17, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
#M7
Johnstown, PA 15905
Phone (615) 920-7334

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123

Organizations & group practices 7

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1932202389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ASHBURY CT",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461809",
            "telephone_number": "412-373-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DRIVE C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-688-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJURI",
        "first_name": "VISHWANATH",
        "middle_name": "M.B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD047512 Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFECARE PHYSICIAN GROUP MEDICARE GROUP BILLING NPI NUMBER",
            "identifier": "1124353388",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.