Individual provider Active NPI

Sunitha Vavilathota, M.D

  • Anesthesiology Physician
  • MC Kees Rocks, PA
National Provider Identifier
1992083372
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD453890 Issued in PA
Practice address
25 Heckel Rd
MC Kees Rocks, PA 15136-1651
Phone
(412) 777-6161
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X MD453890 PA Primary

Addresses

Primary practice location

25 Heckel Rd
MC Kees Rocks, PA 15136-1651

Mailing address

3500 Regent CT
Murrysville, PA 15668-8520
Phone (914) 426-5046

Other practice location 1

600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9523

Other practice location 2

600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9523

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
I20150608001411 PA Practitioner - Anesthesiology 9931420585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excela Health Physician Practices, IncGroup PAC ID 6204737117, 474 clinicians

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone (724) 832-4649

Hospital & facility affiliations

  • Excela Health Latrobe Hospital Hospital, Latrobe, PA, CCN 390219
  • Excela Health - Frick Hospital Hospital, Mount Pleasant, PA, CCN 390217
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD453890PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Multi-Specialty Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 1, 2020 Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Interoperability endpoints

  • Direct secure messaging: svavilathota@direct.excelahealth.org

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992083372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 REGENT CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156688520",
            "telephone_number": "914-426-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HECKEL RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361651",
            "telephone_number": "412-777-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E 233rd St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104662604",
            "country_code": "US",
            "telephone_number": "718-920-9523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E 233rd St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104662604",
            "country_code": "US",
            "telephone_number": "718-920-9523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAVILATHOTA",
        "first_name": "SUNITHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD453890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kees Rocks, PA

Sources for this page

Verify at the official NPI Registry.