Individual provider Active NPI

Raghavendra Rao Siragavarapu, M.D

  • Child & Adolescent Psychiatry Physician
  • Cherry Hill, NJ
National Provider Identifier
1154582377
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD438494 Issued in PA
Practice address
1401 Marlton Pike E Ste 27
Cherry Hill, NJ 08034-2207
Phone
(856) 872-7055
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA11996200 NJ
Child & Adolescent Psychiatry Physician 2084P0804X MD438494 PA Primary

Addresses

Primary practice location

1401 Marlton Pike E Ste 27
Cherry Hill, NJ 08034-2207

Mailing address

1401 Marlton Pike E Ste 27
Cherry Hill, NJ 08034-2207
Phone (856) 448-4989

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
I20110722000458 PA Practitioner - Psychiatry 2062680705 Reassigns benefits to 3 organizations
I20240124002078 NJ Practitioner - Psychiatry 2062680705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

1401 E RT
70 Suite 16
Cherry Hill, NJ 08034-2207
Phone (856) 427-4180

1401 Marlton Pike E
Suite 27
Cherry Hill, NJ 08034-2207
Phone (856) 872-7055

350 Sentry Pkwy Building
610 Suite 130
Blue Pell, PA 19422-2314
Phone (856) 872-7055

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Pennsylvania Inc Current Accepting new patients
Advocare , LLC CurrentSince Feb 1, 2024 Accepting new patients
Uhs of Pennsylvania Inc CurrentSince Sep 11, 2019 Accepting new patients
Advocare, LLC CurrentSince Feb 1, 2024 Accepting new patients
Belmont Behavioral Hospital, LLC Current Accepting new patients
Belmont Behavioral Hospital, LLC CurrentSince Jul 1, 2016 Accepting new patients
Harmony Wellness Group Inc PastSince Aug 15, 2018 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

800 Park Way
Ste A
Broomall, PA 19008
Phone (215) 718-4350

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800

4200 Monument Rd
Philadelphia, PA 19131
Phone (215) 456-6611

Interoperability endpoints

  • Direct secure messaging: raghavendra.siragavarapu@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 7

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1154582377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MARLTON PIKE E STE 27",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-448-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MARLTON PIKE E STE 27",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-872-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAGAVARAPU",
        "first_name": "RAGHAVENDRA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA11996200",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD438494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.