Individual provider Active NPI

Srivani Rachakonda

  • Family Medicine Physician
  • Lawrenceville, NJ
National Provider Identifier
1114372760
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS019216 Issued in PA
Practice address
133 Franklin Corner Rd
Lawrenceville, NJ 08648-2531
Phone
(609) 815-7270
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS019216 PA Primary

Addresses

Primary practice location

133 Franklin Corner Rd
Lawrenceville, NJ 08648-2531

Mailing address

133 Franklin Corner Rd
Lawrenceville, NJ 08648-2531
Phone (609) 815-7270

Other practice location 1

2960 E Market St
York, PA 17402-2414
Phone (717) 751-2483

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srivani.rachakonda.1@12833.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20180522000270 PA Practitioner - Family Practice 6103181177 Reassigns benefits to 1 organization
I20190725003358 NJ Practitioner - Family Practice 6103181177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

832 Brunswick Ave
Trenton, NJ 08638-3847
Phone (609) 815-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Multi-Specialty CurrentSince Aug 12, 2019 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Multi-Specialty CurrentSince Apr 26, 2018 Accepting new patients

Locations

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

133 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 815-7270

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

346 Route 33
Mercerville, NJ 08619
Phone (609) 584-4760

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

832 Brunswick Ave
Trenton, NJ 08638
Phone (609) 396-2600

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: srivani.rachakonda.1@12833.direct.athenahealth.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 4

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1114372760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-815-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-815-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022414",
            "country_code": "US",
            "telephone_number": "717-751-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHAKONDA",
        "first_name": "SRIVANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srivani.rachakonda.1@12833.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "133 Franklin Corner Rd",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.