Organization Active NPI

Hampden Physician Associates, LLC

  • Internal Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1952311144
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD421980 Issued in PA
Legal business name
HAMPDEN PHYSICIAN ASSOCIATES, LLC
Practice address
3456 Trindle Rd
Camp Hill, PA 17011-4468
Phone
(717) 635-2073
Fax
(717) 635-2074
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Mr. Rajeev Krishnan
Title
Office Administrator
Phone
(717) 635-2073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD421980 PA Primary

Addresses

Primary practice location

3456 Trindle Rd
Camp Hill, PA 17011-4468

Mailing address

3456 Trindle Rd
Camp Hill, PA 17011-4468
Phone (717) 635-2073

Other identifiers 1

IdentifierTypeStateIssuer
1017093890001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061213000387 PA Part B Supplier - Clinic/Group Practice 8729087150 Receives reassigned benefits from 3 practitioners
Practice locations: Mechanicsburg, PA; Harrisburg, PA; Camp Hill, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1060502Hampden Physician Associates3456 Trindle Road, Camp Hill, PA 17011Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

3456 Trindle Rd
Camp Hill, PA 17011
Phone (717) 635-2073

1700 Market St
Camp Hill, PA 17011
Phone (717) 737-8551

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1952311144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114468",
            "telephone_number": "717-635-2073",
            "fax_number": "717-635-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114468",
            "telephone_number": "717-635-2073",
            "fax_number": "717-635-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPDEN PHYSICIAN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-635-2073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD421980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017093890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.