Individual provider Active NPI

Veena - Luthra, M.D

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1992842397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD065139L Issued in PA
Practice address
635 S Ithan Ave
Bryn Mawr, PA 19010-1132
Phone
(484) 382-1077
Fax
(610) 520-0778
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD065139L PA Primary

Addresses

Primary practice location

635 S Ithan Ave
Bryn Mawr, PA 19010-1132

Mailing address

635 S Ithan Ave
Bryn Mawr, PA 19010-1132
Phone (484) 382-1077

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
I20070824000583 PA Practitioner - Psychiatry 9537251350 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065139LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Pennsylvania Inc Psychiatry CurrentSince Apr 4, 2016 Accepting new patients
Uhs of Pennsylvania Inc Psychiatry Current Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients

Locations

800 Park Way
Ste A
Broomall, PA 19008
Phone (215) 718-4350

722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992842397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101132",
            "telephone_number": "484-382-1077",
            "fax_number": "610-520-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101132",
            "telephone_number": "484-382-1077",
            "fax_number": "610-520-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHRA",
        "first_name": "VEENA",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD065139L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.