Individual provider Active NPI

Sudeshna Chatterjee-Paer, M.D.

  • Gynecologic Oncology Physician
  • Wynnewood, PA
National Provider Identifier
1962794743
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD465189 Issued in PA
Practice address
100 E Lancaster Ave
Suite 661 Mob East
Wynnewood, PA 19096-3437
Phone
(610) 649-8085
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD465189 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Suite 661 Mob East
Wynnewood, PA 19096-3437

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336

Other practice location 1

3941 Commerce Ave
Willow Grove, PA 19090
Phone (215) 481-4000

Other names 1

  • Sudeshna Chatterjee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20180905002493 PA Practitioner - Gynecological Oncology 8123378593 Reassigns benefits to 1 organization
I20210708000721 DE Practitioner - Gynecological Oncology 8123378593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 661
Wynnewood, PA 19096-3437
Phone (610) 649-8085

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Skin biopsy1-10
Removal of the uterus56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Gynecologic Oncology CurrentSince Jun 28, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 28, 2021 Accepting new patients
Main Line Healthcare Gynecologic Oncology CurrentSince Sep 1, 2024 Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 2335
Newark, DE 19713
Phone (302) 623-4285

4701 Ogletown Stanton Rd
Ste 1213
Newark, DE 19713
Phone (302) 623-4550

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

100 E Lancaster Ave
Ste 661
Wynnewood, PA 19096
Phone (610) 587-3932

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 5

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1962794743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 661 MOB EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963437",
            "telephone_number": "610-649-8085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3941 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "19090",
            "country_code": "US",
            "telephone_number": "215-481-4000",
            "fax_number": "215-481-3738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATTERJEE-PAER",
        "first_name": "SUDESHNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD465189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUDESHNA",
            "last_name": "CHATTERJEE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.