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
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 3

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

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

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

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, LLCGroup PAC ID 4789631011, 138 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 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

Procedures performed for Medicare patients

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

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
Orthopaedic Specialty Center Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc 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: sdurbhakula53046@direct.hopkinsmedicine.org
  • Direct secure messaging: sridhardurbhakula@bccoallp.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.