Organization Active NPI

Ananda Seva Medical PC

  • Internal Medicine Physician
  • Cortlandt Manor, NY
National Provider Identifier
1114733086
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANANDA SEVA MEDICAL PC
Practice address
2300 Catherine St
Cortlandt Manor, NY 10567-7231
Phone
(914) 245-1866
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Suneetha Pattisapu, MDNPI 1235107160
Title
Owner
Phone
(914) 245-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2300 Catherine St
Cortlandt Manor, NY 10567-7231

Mailing address

PO Box 805
Jefferson Valley, NY 10535-0805
Phone (914) 245-1866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250210000346 NY Part B Supplier - Clinic/Group Practice 7214467000 Receives reassigned benefits from 1 practitioner
Practice locations: Cortlandt Manor, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1114733086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105350805",
            "telephone_number": "914-245-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CATHERINE ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105677231",
            "telephone_number": "914-245-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANDA SEVA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "PATTISAPU",
        "authorized_official_first_name": "SUNEETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-245-1866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.