Individual provider

Shandurai Takavarasha, M.D.

Infectious Disease Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Shandurai Takavarasha, M.D. is an Infectious Disease Physician in East Stroudsburg, PA, registered under NPI 1114286069. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 175 E BROWN ST, East Stroudsburg, PA 18301. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

175 E BROWN ST, East Stroudsburg, PA 18301 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD479316 PA Infectious Disease Physician primary
289492 NY Infectious Disease Physician

Licences are recorded in 2 states: PA, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Infectious Disease
PAC ID
0749552974

Medicare enrolment is recorded as approved under the provider type Practitioner - Infectious Disease. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New York and Pennsylvania. The practice address on file is in East Stroudsburg, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NY New York
Licence
289492
Specialty
Infectious Disease Physician
Verify with the NY board →
PA Pennsylvania practice address
Licence
MD479316
Specialty
Infectious Disease Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Infectious Disease covers

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. NUCC Health Care Provider Taxonomy, code 207RI0200X
Allopathic & Osteopathic Physicians Internal Medicine Infectious Disease

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RI0200X Infectious Disease Physician Infectious Disease MD479316 PA primary
390200000X Student in an Organized Health Care Education/Training Program
207RI0200X Infectious Disease Physician Infectious Disease 289492 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114286069 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 14, 2012
Last updatedMay 20, 2026
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 175 E BROWN ST
East Stroudsburg, PA 18301
(570) 426-2840
Fax (570) 420-2845
Mailing address 2100 MACK BLVD FL 4
Allentown, PA 18103
This record was updated on May 20, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1114286069 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 2 8 6 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 4 8 3 0 3

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114286069?
NPI 1114286069 is the National Provider Identifier assigned to Shandurai Takavarasha, M.D. in East Stroudsburg, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Infectious Disease cover?
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also…
How do I contact Shandurai Takavarasha, M.D.?
The phone number on file with NPPES is (570) 426-2840, last updated May 20, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shandurai Takavarasha, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114286069 a valid number?
Yes. 1114286069 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.