ANUSHA EDARA M.D
NPI 1235542424
Psychiatry & Neurology - Neurology in Johnstown, PA

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment
1450 SCALP AVE STE 2100, JOHNSTOWN, PA 15904(814) 269-5275(814) 269-5233 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1235542424
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameANUSHA EDARACredential: M.D
Location Address1450 SCALP AVE STE 2100Johnstown, PA 15904-3374
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8329 · Fax (814) 410-8331
Fax(814) 269-5233
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 5, 2014
Last NPPES UpdateSeptember 12, 2019
NPI 1235542424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD468770
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1450 SCALP AVE STE 2100, Johnstown, PA 15904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2062844699
PECOS Enrollment IDI20191119002600, I20251028004954
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

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, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers17 claims19 services$34.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$17.13 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers17 claims17 services$14.42 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers26 claims54 services$2.31 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers11 claims11 services$16.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers17 claims17 services$39.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Nurse Practitioner (Family)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Nurse Practitioner
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Physician Assistant
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Physical Medicine & Rehabilitation (Pain Medicine)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Psychiatry & Neurology (Neurology)
1450 SCALP AVE STE 2100
JOHNSTOWN, PA 15904
Nurse Practitioner (Family)
1450 SCALP AVE STE 2100
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.

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 6 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.