Vasudha Chivukula, PA-C
Individual provider Active NPI Physician Assistant · Hazle Township, PA
NPI 1982435129 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1982435129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- OA007154 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 30
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Carbon-Schuylkill Community Hospital, Inc.
St Luke'S Hospital
St. Luke'S Hospital -Monroe Campus
GSL Hospital
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241011003649 | PA | Practitioner - Physician Assistant | 4587196753 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA007154 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GSL Hospital | Current |
Accepting new patients | |
| The Carbon Schuylkill Community Hospital, Inc. | Current |
Accepting new patients | |
| Gslpg, Inc | Current |
Accepting new patients | |
| St. Luke'S Hospital Monroe Campus | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| St Luke Hospital | Current |
Accepting new patients | |
| St Luke'S Hospital | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| St. Luke'S Hospital - Anderson Campus | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Current |
Accepting new patients | |
| The Carbon Schuylkill Community Hospital, Inc. | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current |
Accepting new patients | |
| St. Luke'S Hosptial | Current |
Accepting new patients | |
| St. Luke'S Hospital Monroe Campus | Current |
Accepting new patients | |
| St. Luke'S Quakertown Hospital | Current |
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
- vchivukula338836@direct-sluhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA065828 | PA | |
| Physician Assistant | 363A00000X | OA007154 | PA | Yes |
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
Other providers in Hazle Township, PA
- Caring Community Health Center
- Anthony Michael Carrato
- Amy Cheesman
- Emily Cheskiewicz
- Nicholas P. Chiumento
- Steven Clemson
- Brendan Sewall Connors
- Jennifer L Corcoran
- Cornerstone Caregiving East LLC
- Tarin Lynn Currier
All providers in Hazle Township, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.