Individual provider Active NPI

Anil S Deshpande, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Newtown, PA
National Provider Identifier
1942220090
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD023016E Issued in PA
Practice address
796 Newtown Yardley Rd Ste 200
Newtown, PA 18940-1748
Phone
(609) 537-5600
Fax
(609) 537-7394
NPI assigned
Jul 20, 2006
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD023016E PA Primary

Addresses

Primary practice location

796 Newtown Yardley Rd Ste 200
Newtown, PA 18940-1748

Mailing address

796 Newtown Yardley Rd Ste 200
Newtown, PA 18940-1748
Phone (609) 537-5600

Other practice location 1

4595 New Falls Rd Ste A
Levittown, PA 19056-3004
Phone (215) 752-3330

Other practice location 2

1203 Langhorne Newtown Rd Ste 226
Langhorne, PA 19047
Phone (215) 752-3330

Other identifiers 5

IdentifierTypeStateIssuer
0010260930007MedicaidPA
622997400OtherPADEPARTMENT OF LABOR
413525OtherPAHIGHMARK BLUE SHIELD
0010260930002MedicaidPA
4084554OtherPAAETNA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address anil.deshpande.1@11127.direct.athenahealth.com Direct
Direct Messaging Address anil.deshpande.1@11127.direct.athenahealth.com Direct
Direct Messaging Address anil.deshpande.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050815000762 NJ Practitioner - Thoracic Surgery 6103877196 Reassigns benefits to 1 organization
I20101213000906 PA Practitioner - Thoracic Surgery 6103877196 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Jun 19, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 30, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 30, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Universal Clinical Laboratories LLC PastSince Dec 4, 2016 Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

796 Newtown Yardley Rd
Ste 2
Newtown, PA 18940
Phone (609) 303-4460

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: adeshpande2020489@direct.trinity-health.org
  • Direct secure messaging: anil.deshpande.1@11127.direct.athenahealth.com
  • Direct secure messaging: anil.deshpande.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1942220090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 NEWTOWN YARDLEY RD STE 200",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401748",
            "telephone_number": "609-537-5600",
            "fax_number": "609-537-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 NEWTOWN YARDLEY RD STE 200",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401748",
            "telephone_number": "609-537-5600",
            "fax_number": "609-537-7394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4595 New Falls Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190563004",
            "country_code": "US",
            "telephone_number": "215-752-3330",
            "fax_number": "215-752-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "19047",
            "country_code": "US",
            "telephone_number": "215-752-3330",
            "fax_number": "215-752-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "ANIL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD023016E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010260930007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "622997400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "413525",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010260930002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4084554",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anil.deshpande.1@11127.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "SMMC Direct E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4595 New Falls Rd Ste A",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190563004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anil.deshpande.1@11127.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "SMMC Direct E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1203 Langhorne Newtown Rd Ste 226",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anil.deshpande.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "796 Newtown Yardley Rd Ste 200",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.