Individual provider Active NPI

Srinivasa Reddy Adapa, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
National Provider Identifier
1083667935
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
218854 Issued in NY
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

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
218854OtherNYLICENSE NY STATE
BA7290036OtherFEDERAL
02356150MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000764 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6507812625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric 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)

OrganizationSpecialtyStatusNew patients
Srinivasa Reddy Medical PC CurrentSince May 13, 2013 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

Verify at the official NPI Registry.