NPIMap

Individual provider Active NPI

Mahendra M Pujara, MD

  • Specialist
  • Pottsville, PA
National Provider Identifier
1952371924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD037780L Issued in PA
Practice address
1630 Mount Hope Ave
Pottsville, PA 17901-1337
Phone
(570) 622-1553
Fax
(570) 622-3531
NPI assigned
Jan 24, 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
Specialist 174400000X MD037780L PA Primary

Addresses

Primary practice location

1630 Mount Hope Ave
Pottsville, PA 17901-1337

Mailing address

1630 Mount Hope Ave
Pottsville, PA 17901-1337
Phone (570) 622-1553

Other identifiers 1

IdentifierTypeStateIssuer
000831495001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000397 PA Practitioner - Urology 2567539208 Practice locations: Pottsville, PA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1630 Mount Hope Ave
Pottsville, PA 17901-1337
Phone (570) 622-1553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037780LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mahendra M Pujara Specialist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952371924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MOUNT HOPE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011337",
            "telephone_number": "570-622-1553",
            "fax_number": "570-622-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MOUNT HOPE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011337",
            "telephone_number": "570-622-1553",
            "fax_number": "570-622-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJARA",
        "first_name": "MAHENDRA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037780L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000831495001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.