Active NPI
Shiban K Warikoo, MD
- Urology Physician
- Johnstown, PA
National Provider Identifier
1982613626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD034967L
- Practice address
- 1111 Franklin St
Suite 410
Johnstown, PA 15905 - Phone
- (814) 536-7851
- Fax
- (814) 539-3649
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD034967L | PA | Primary |
Addresses
Primary practice location
1111 Franklin St
Suite 410
Johnstown, PA 15905
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006395630001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| DLP Conemaugh Miners Medical Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Hastings, PA
- NPI 1679637482
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1982613626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-410-8300",
"fax_number": "814-410-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 FRANKLIN ST",
"address_2": "SUITE 410",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-536-7851",
"fax_number": "814-539-3649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARIKOO",
"first_name": "SHIBAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD034967L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006395630001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.