Individual provider Active NPI

Vasudha Chivukula, PA-C

  • Physician Assistant
  • Hazle Township, PA
National Provider Identifier
1982435129
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA007154 Issued in PA
Practice address
1097B N Church St
Hazle Township, PA 18202-1465
Phone
(272) 639-5650
Fax
(242) 639-5651
NPI assigned
Aug 9, 2024
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA065828 PA
Physician Assistant 363A00000X OA007154 PA Primary

Addresses

Primary practice location

1097B N Church St
Hazle Township, PA 18202-1465

Mailing address

1097B N Church St
Hazle Township, PA 18202-1465
Phone (272) 639-5650

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011003649 PA Practitioner - Physician Assistant 4587196753 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke's HospitalGroup PAC ID 0648189688, 100 clinicians
GSL HospitalGroup PAC ID 8921338583, 23 clinicians

Practice addresses (Care Compare)

1097 B N Church St
Hazle Township, PA 18202-1465
Phone (484) 526-4000

1104 N St
St Luke's Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1500

174 Harvest LN
Pocono Summit, PA 18346-7761
Phone (484) 526-4000

2650 Woodglen Rd
Geisinger St Luke's Care Now Pottsville
Pottsville, PA 17901-1335
Phone (272) 639-5780

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

9 Dave's Way
Hamburg, PA 19526-1463
Phone (610) 628-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Feb 24, 2025 Accepting new patients
St Luke Hospital CurrentSince Feb 24, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 23, 2024 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Feb 24, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Gslpg, Inc CurrentSince Mar 1, 2026 Accepting new patients
St Luke's Hospital CurrentSince Feb 24, 2025 Accepting new patients
St. Luke's Hosptial CurrentSince Feb 24, 2025 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Feb 24, 2025 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Feb 24, 2025 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Feb 24, 2025 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Feb 24, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 1, 2026 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 23, 2024 Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1097B N Church St
Hazle Township, PA 18202
Phone (272) 639-5650

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

3471 5th Ave
Ste 810
Pittsburgh, PA 15213
Phone (412) 692-4607

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: vchivukula338836@direct-sluhn.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1982435129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097B N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465",
            "telephone_number": "272-639-5650",
            "fax_number": "242-639-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097B N CHURCH ST",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021465",
            "telephone_number": "272-639-5650",
            "fax_number": "242-639-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIVUKULA",
        "first_name": "VASUDHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA065828",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

Verify at the official NPI Registry.