Active NPI
Srinivas Thandla, MD
- Pediatrics Physician
- Salamanca, NY
National Provider Identifier
1043351091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 237701
- Practice address
- 4039 Route 219
Suite 103
Salamanca, NY 14779-9625 - Phone
- (716) 945-0368
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 237701 | NY | Primary |
Addresses
Primary practice location
4039 Route 219
Suite 103
Salamanca, NY 14779-9625
Mailing address
4039 Route 219 Ste 103
Salamanca, NY 14779-9625
Phone (716) 945-0368
Other practice location 1
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02056637 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237701 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Healthcare | Pediatrics | Past | Accepting new patients |
| Seneca Nation of Indians | Past | Accepting new patients | |
| Olean General Hospital | Past | Accepting new patients | |
| Seneca Nation of Indians | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBBJBA/Endpoint/EBBJBA
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Federally Qualified Health Center (FQHC)
- Salamanca, NY
- NPI 1023033511
-
- Federally Qualified Health Center (FQHC)
- Salamanca, NY
- NPI 1609882976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1043351091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4039 ROUTE 219 STE 103",
"city": "SALAMANCA",
"state": "NY",
"postal_code": "147799625",
"telephone_number": "716-945-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4039 ROUTE 219",
"address_2": "SUITE 103",
"city": "SALAMANCA",
"state": "NY",
"postal_code": "147799625",
"telephone_number": "716-945-0368"
}
],
"practiceLocations": [
{
"address_1": "987 R C Hoag Dr",
"address_purpose": "LOCATION",
"city": "Salamanca",
"state": "NY",
"postal_code": "147791365",
"country_code": "US",
"telephone_number": "716-945-5894",
"fax_number": "716-242-6345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THANDLA",
"first_name": "SRINIVAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "237701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02056637",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salamanca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.