Sailaja Sivareddy, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

241662 Issued in NY

Practice address

8924 146TH St
Jamaica, NY 11435-3640

Phone

(718) 715-1764

Fax

(718) 885-9311

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sailaja Adapala Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
• Queens Hospital Center Hospital, Jamaica, NY, CCN 330231

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: ssivareddy2063585@nychhc.direct-ci.com

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.

• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Brooklyn Heights

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1255719563

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087

  Single Specialty

  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709

  Single Specialty

  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Single Specialty

  NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Brooklyn Docs

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1780111484
  NPD
• Boro Medical, P.C.

  • Podiatrist
  • Long Island City, NY
  • NPI 1588682454

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1174689665
  Care Compare affiliation
• Beth Israel Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1174768071
  Care Compare affiliation
• Beth Israel Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • New York, NY
  • NPI 1770951204
  Care Compare affiliation
• New York City Health and Hospitals Corporation

  dba Queens Hospital Center

  • General Acute Care Hospital
  • Jamaica, NY
  • NPI 1801803903
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1023181138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14724 VILLAGE RD",
            "address_2": "SUITE # GB",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114356348",
            "telephone_number": "718-715-1764",
            "fax_number": "718-885-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 146TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353640",
            "telephone_number": "718-715-1764",
            "fax_number": "718-885-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAREDDY",
        "first_name": "SAILAJA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241662",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "241662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02869107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAILAJA",
            "last_name": "ADAPALA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zackery Sira, M.D.
• Soney Tino Siriphone, O.D.
• Patricia Sirju, LPN
• Rebecca Xiao Jun Situ, RPH
• Shetra Sivamurthy, MD
• Jeesa Skaria, OT
• Skylight Pharmacy Inc
• Skypan Pharmacies Inc (St albans Pharmacy)
• Stella Slade
• Wendy L Slater, RN

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.

Verify at the official NPI Registry.