Active NPI
Srinivasa Reddy Adapa, MD
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
National Provider Identifier
1083667935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 218854
- Practice address
- 3950 White Plains Rd
Bronx, NY 10466-3026 - Phone
- (718) 882-2432
- Fax
- (718) 231-1067
- NPI assigned
- May 19, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 218854 | NY | Primary |
Addresses
Primary practice location
3950 White Plains Rd
Bronx, NY 10466-3026
Mailing address
3950 White Plains Rd
Bronx, NY 10466-3026
Phone (718) 882-2432
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218854 | Other | NY | LICENSE NY STATE |
| BA7290036 | Other | FEDERAL | |
| 02356150 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110301000764 | NY | Practitioner - Internal Medicine | 6507812625 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3950 White Plains Rd
Bronx, NY 10466-3026
Phone (718) 882-2432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srinivasa Reddy Medical PC | Current | Accepting new patients |
Locations
3950 White Plains Rd
Bronx, NY 10466
Phone (718) 652-6622
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1083667935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663026",
"telephone_number": "718-882-2432",
"fax_number": "718-231-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663026",
"telephone_number": "718-882-2432",
"fax_number": "718-231-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAPA",
"first_name": "SRINIVASA",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "218854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NY STATE",
"identifier": "218854",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL",
"identifier": "BA7290036",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02356150",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.