ANUSHA EDARA M.D
NPI 1235542424
Psychiatry & Neurology - Neurology in Johnstown, PA
About Anusha Edara M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANUSHA EDARA M.D (NPI 1235542424) is an individual neurology provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD468770) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anusha Edara M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Anusha Edara reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnstown, PA 15904
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 clinicians in this Medicare group
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Methodist Associates In Healthcare, Inc
- 600 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Willow Grove, PA 19090
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hr Physician Services
- 360 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJHoly Redeemer Hospital And Medical Center
Acute Care Hospitals · Meadowbrook, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSTOWN, PA 15904
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anusha Edara's NPI number?
The NPI number for Anusha Edara is 1235542424. It was assigned to this individual provider in the NPPES registry on June 5, 2014.
Where is Anusha Edara located?
Anusha Edara practices at 1450 Scalp Ave Ste 2100, Johnstown, PA 15904. The listed phone number is (814) 269-5275.
What is Anusha Edara's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Anusha Edara enrolled in Medicare?
Yes. Anusha Edara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Anusha Edara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anusha Edara reassigns Medicare benefits to 5 organizations: Dlp Conemaugh Physician Practices LLC (Johnstown, PA), Jefferson Community Physicians (Bala Cynwyd, PA), Jefferson University Physicians (Philadelphia, PA), Hr Physicians Services (Willow Grove, PA) and Methodist Associates In Healthcare Of New Jersey, P.C. (Sewell, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anusha Edara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anusha Edara accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anusha Edara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Anusha Edara affiliated with any hospitals?
According to CMS data, Anusha Edara is affiliated with Jefferson Stratford Hospital and Holy Redeemer Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Anusha Edara was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Anusha Edara, M.D · NPI 1235542424
Neurology physician in Johnstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 5, 2014.
## Identity
- **NPI:** 1235542424 (Entity type: Individual)
- **Enumerated:** June 5, 2014
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD468770 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 SCALP AVE STE 2100, Johnstown, PA 15904-3374
- **Phone:** (814) 269-5275 · **Fax:** (814) 269-5233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Dlp Conemaugh Physician Practices LLC (NPI 1861808909, Johnstown, PA); Jefferson Community Physicians (NPI 1891587036, Bala Cynwyd, PA); Jefferson University Physicians (NPI 1326093675, Philadelphia, PA); Hr Physicians Services (NPI 1154321271, Willow Grove, PA); Methodist Associates In Healthcare Of New Jersey, P.C. (NPI 1568078095, Sewell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1235542424) · Data from the CMS NPPES public registry.