Individual provider Active NPI

Srino Bharam, MD

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1104828805
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
203659 Issued in NY
Practice address
130 E 77TH St
Black Hall 8TH Floor
New York, NY 10075-1851
Phone
(212) 691-3535
Fax
(212) 691-6370
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 203659 NY Primary

Addresses

Primary practice location

130 E 77TH St
Black Hall 8TH Floor
New York, NY 10075-1851

Mailing address

130 E 77TH St
Black Hall 8TH Floor
New York, NY 10075-1851
Phone (212) 691-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040427000078 NY Practitioner - Orthopedic Surgery 7012904774 Reassigns benefits to 1 organization
I20140205001419 NJ Practitioner - Orthopedic Surgery 7012904774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 E 77TH St
FL 7
New York, NY 10075-1851
Phone (212) 691-3535

541 Cedar Hill Ave
Wyckoff, NJ 07481-2150
Phone (201) 904-2121

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics of New York PLLC Orthopaedic Surgery PastSince Sep 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sbharam67186@northwell.direct-ci.com
  • Direct secure messaging: srb9026@direct.nyp.org
  • Direct secure messaging: srinobharam.202.5420@securemailmdscloud.mdsynergy.com

Organizations & group practices 3

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 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1104828805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "BLACK HALL 8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-691-3535",
            "fax_number": "212-691-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "BLACK HALL 8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-691-3535",
            "fax_number": "212-691-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARAM",
        "first_name": "SRINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "203659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.