KRITI PATHAK D.O.
NPI 1528590684
Internal Medicine - Pulmonary Disease in Wynnewood, PA
About Kriti Pathak D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRITI PATHAK D.O. (NPI 1528590684) is an individual pulmonary disease provider in Wynnewood, Pennsylvania, licensed in New Jersey (25MB11793600) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Rowan University School Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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
Kriti Pathak D.o. 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 Reassignment
Medicare enrollment records show Kriti Pathak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1225060742 (California)
- 5,228 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
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 Kriti Pathak's NPI number?
The NPI number for Kriti Pathak is 1528590684. It was assigned to this individual provider in the NPPES registry on March 29, 2017.
Where is Kriti Pathak located?
Kriti Pathak practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-3305.
What is Kriti Pathak's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Kriti Pathak enrolled in Medicare?
Yes. Kriti Pathak 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 organization bills Medicare for Kriti Pathak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kriti Pathak reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Kriti Pathak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kriti Pathak accept?
Health plans from Oscar Health list Kriti Pathak 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.
When was this NPI record last updated?
The NPPES record for Kriti Pathak was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kriti Pathak, D.O. · NPI 1528590684
Pulmonary Disease physician in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2017.
## Identity
- **NPI:** 1528590684 (Entity type: Individual)
- **Enumerated:** March 29, 2017
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 25MB11793600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E LANCASTER AVE, Wynnewood, PA 19096-3450
- **Phone:** (484) 476-3305
## 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:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 2017
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528590684) · Data from the CMS NPPES public registry.