Individual provider Active NPI

Nithin Venkat Bhandarkar, D.O.

  • Internal Medicine Physician
  • Canonsburg, PA
National Provider Identifier
1992943419
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT012588 Issued in PA
Practice address
3928 Washington Rd Ste 280
Canonsburg, PA 15317-2593
Phone
(724) 731-0090
Fax
(724) 731-0041
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT012588 PA Primary

Addresses

Primary practice location

3928 Washington Rd Ste 280
Canonsburg, PA 15317-2593

Mailing address

1000 Bower Hill Rd
Attn St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20110808000057 PA Practitioner - Internal Medicine 7911176037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
College of Osteo Med of the Pacific at Pomona, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

733 Washington Rd
401 Fatigati Nalin Assoc
Pittsburgh, PA 15228-2022
Phone (412) 343-1770

Hospital & facility affiliations

  • Gallagher Home Health Services Home health agency, Bridgeville, PA, CCN 398024
  • Commonwealth Hospice, LLC Hospice, Pittsburgh, PA, CCN 391792
  • Bridges Hospice, Inc Hospice, Monroeville, PA, CCN 391734
  • Gallagher Hospice, LLC Hospice, Bridgeville, PA, CCN 391778
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Providence Point Healthcare Residence Nursing home, Pittsburgh, PA, CCN 396124
  • Whitehall Borough Post Acute Nursing home, Pittsburgh, PA, CCN 396066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012588PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Jul 1, 2011 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Jul 1, 2011 Accepting new patients
St Clair Medical Services, Inc. Internal Medicine Current Accepting new patients
Weyman SNF Healthcare LLC Past Accepting new patients
St Clair Medical Services Inc Past Accepting new patients
505 Weyman Road Operations LLC Past Accepting new patients
St Clair Memorial Hospital Past Accepting new patients

Locations

1025 Washington Pike
Ste 3
Bridgeville, PA 15017
Phone (412) 221-3377

3928 Washington Rd
Ste 280
McMurray, PA 15317
Phone (724) 731-0090

1000 Bower Hill Rd
Fl 2
Pittsburgh, PA 15243
Phone (412) 942-4272

733 Washington Rd
Ste 401
Pittsburgh, PA 15228
Phone (412) 343-1770

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: nithinbhandarkar@sch.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Homes SocietyPitsburgh, PA, CCN 396124 Skilled nursing facility Corporate Director
Adp of the SNF
Feb 1, 2020
Feb 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1992943419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 WASHINGTON RD STE 280",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172593",
            "telephone_number": "724-731-0090",
            "fax_number": "724-731-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARKAR",
        "first_name": "NITHIN",
        "middle_name": "VENKAT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT012588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "3928 Washington Rd Ste 280",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.