Active NPI
Sriram S Iyer, MD
- Interventional Cardiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 207886
- Practice address
- 791 Park Ave
New York, NY 10021-3513 - Phone
- (212) 290-1300
- Fax
- (646) 219-2255
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 207886 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 31800 | WI | |
| Interventional Cardiology Physician | 207RI0011X | 207886 | NY | Primary |
Addresses
Primary practice location
791 Park Ave
New York, NY 10021-3513
Mailing address
791 Park Ave
New York, NY 10021-3513
Phone (212) 290-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01782609 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000
791 Park Ave
New York, NY 10021-3513
Phone (212) 290-1300
Hospital & facility affiliations
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
- Lenox Hill Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207886 | NY | MD | Cardiovascular Disease Physician |
| 31800 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Long Island Jewish Health Care Inc | Cardiovascular Disease | Current | Accepting new patients |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Sriram Iyer Medical, PC | Interventional Cardiology | Current | Accepting new patients |
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| North Shore Long Island Jewish Healthcare | Cardiovascular Disease | Current | Accepting new patients |
| St John'S Medical Services PC | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Cardiovascular Disease | Past | Accepting new patients |
| Lenox Hill Interventional Cardiac & Vascular Services PC | Interventional Cardiology | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400
130 E 77th St
Fl 9
New York, NY 10075
Phone (212) 434-2606
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
130 E 77th St
New York, NY 10075
Phone (212) 434-2606
300 Community Dr
Plandome, NY 11030
431 Beach 129th St
Rockaway Park, NY 11694
Phone (718) 318-3434
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://api.platform.athenahealth.com/9979/brand/1/csg/1/fhir/r4
- siyer157086@direct.phci.org
- siyer64511@northwell.direct-ci.com
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
- sriram.iyer.1@9979.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1427450428
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
-
- Internal Medicine Physician
- New York, NY
- NPI 1912338385
Cardiovascular Disease
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1720371719
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1265452015
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1023042173
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Cardiovascular Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1013974617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213513",
"telephone_number": "212-290-1300",
"fax_number": "646-219-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213513",
"telephone_number": "212-290-1300",
"fax_number": "646-219-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYER",
"first_name": "SRIRAM",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "207886",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "31800",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "207886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01782609",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.