Individual provider Active NPI

Ruhani Nanavati, MD

  • Vascular Surgery Physician
  • Lancaster, PA
National Provider Identifier
1952830473
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD478386 Issued in PA
Practice address
2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone
(717) 544-3626
Fax
(717) 544-3628
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD478386 PA Primary

Addresses

Primary practice location

2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Mailing address

2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220820000241 PA Practitioner - Vascular Surgery 8729358353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2104 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 544-3626

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)23
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Sep 26, 2022 Accepting new patients
Lancaster General Medical Group Vascular Surgery CurrentSince Sep 26, 2022 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

1261 Division Hwy
#2
Ephrata, PA 17522
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2104 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (717) 290-3626

Interoperability endpoints

  • Direct secure messaging: rnanavati229716@direct-lghealth.org

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1952830473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3626",
            "fax_number": "717-544-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3626",
            "fax_number": "717-544-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "RUHANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD478386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.