Individual provider Active NPI

Shrutika Vasudeva, M.D.

  • Obstetrics & Gynecology Physician
  • Niagara Falls, NY
National Provider Identifier
1053669127
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301100955 Issued in MI
Practice address
621 10TH St
Niagara Falls, NY 14301-1813
Phone
(716) 278-4000
NPI assigned
Aug 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301100955 MI Primary

Addresses

Primary practice location

621 10TH St
Niagara Falls, NY 14301-1813

Mailing address

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20191122001365 DC Practitioner - Obstetrics/Gynecology 0143510768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

1133 21St St NW
Suite 200
Washington, DC 20036-3324
Phone (202) 331-1740

5530 Wisconsin Ave
Suite 604
Chevy Chase, MD 20815-4430
Phone (301) 654-5700

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
83.16
Improvement activities
40
Cost
76.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Edge LLC CurrentSince Oct 9, 2019 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Oct 9, 2019 Accepting new patients
Reiter and Hill PLLC Obstetrics & Gynecology CurrentSince Mar 2, 2026 Accepting new patients
Holy Cross Health, Inc Past Accepting new patients

Locations

1133 21st St NW
Ste 200
Washington, DC 20036
Phone (202) 331-1740

12240 Indian Creek Ct
Ste 130A
Beltsville, MD 20705
Phone (301) 453-5970

5530 Wisconsin Ave
Ste 604
Chevy Chase, MD 20815
Phone (301) 654-5700

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

10750 Columbia Pike
Ste 700
Silver Spring, MD 20901
Phone (301) 681-2618

407 N Washington St
Ste 105
Falls Church, VA 22046
Phone (703) 533-9211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4
  • Direct secure messaging: shrutika.vasudeva.1@8994.direct.athenahealth.com
  • Direct secure messaging: svasudeva331063@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1053669127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011813",
            "telephone_number": "716-278-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011813",
            "telephone_number": "716-278-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVA",
        "first_name": "SHRUTIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301100955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.