NPIMap

Individual provider Active NPI

Sridhar Durbhakula, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1053400366
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
D0061416 Issued in MD
Practice address
10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1106
Phone
(301) 530-1010
Fax
(301) 897-8597
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLC 138 clinicians
Amber Hill Physical Therapy Inc 336 clinicians
Suburban/NRH Medical Rehabilitation Inc 885 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

187 Thomas Johnson Dr
Frederick, MD 21702-4503

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Potomac Home Health Care Home health agency, Bethesda, MD, CCN 217084
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement72
Knee replacement129
Lower limb (leg) arthroscopy (minimally invasive joint repair)13

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000856 DC Practitioner - Orthopedic Surgery 7618952144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0061416MDMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Orthopaedic Surgery CurrentSince Jul 1, 2012 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jul 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Orthopaedic Specialty Center Orthopaedic Surgery Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

8401 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 899-3580

Interoperability endpoints

  • Direct secure messaging: sridhardurbhakula@bccoallp.allscriptsdirect.net
  • Direct secure messaging: sdurbhakula53046@direct.hopkinsmedicine.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0061416 MD
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X D0061416 MD Primary
Orthopaedic Trauma Physician 207XX0801X D0061416 MD

Addresses

NPPES NPI Registry

Primary practice location

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1106

Mailing address

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1106
Phone (301) 530-1010

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
686082OtherNCPPO
64138603OtherCAREFIRST BLUE CROSS
4170527OtherCIGNA
3124783OtherMDIPA/OPCHOICE
3124783OtherALLIANCE/MAMSI
37520016OtherBLUE CROSS OF NATL CAP AR
894071OtherMDPTAN NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2013.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1053400366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBHAKULA",
        "first_name": "SRIDHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0061416",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D0061416",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MD",
            "license": "D0061416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "686082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "64138603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4170527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPCHOICE",
            "identifier": "3124783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/MAMSI",
            "identifier": "3124783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NATL CAP AR",
            "identifier": "37520016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "894071",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.