Individual provider Active NPI

Sudarshan Srikanth Srivats, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1184240178
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23542 Issued in NH
Practice address
New York Presbyterian Brooklyn Methodist Hospital
506 6TH Street
Brooklyn, NY 11215
Phone
(718) 780-3000
NPI assigned
Jun 25, 2020
Reactivated
Sep 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 23542 NH Primary

Addresses

Primary practice location

New York Presbyterian Brooklyn Methodist Hospital
506 6TH Street
Brooklyn, NY 11215

Mailing address

New York Presbyterian Brooklyn Methodist Hospital
506 6TH Street
Brooklyn, NY 11215
Phone (718) 780-3000

Other practice location 1

100 McGregor St
Manchester, NH 03102-3770
Phone (603) 663-5310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20230508002009 NH Practitioner - Internal Medicine 6305201740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of NH, LLCGroup PAC ID 8527423706, 88 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 668-3545

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Apr 25, 2023 Accepting new patients
Catholic Medical Center CurrentSince Apr 25, 2023 Accepting new patients
Hospital Medicine Services of NH, LLC CurrentSince Feb 1, 2025 Accepting new patients
Manchester Health Services, LLC Past Accepting new patients
Catholic Medical Center Past Accepting new patients

Locations

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

Organizations & group practices 5

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 3

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1184240178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL",
            "address_2": "506 6TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-780-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL",
            "address_2": "506 6TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-780-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 McGregor St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023770",
            "country_code": "US",
            "telephone_number": "603-663-5310",
            "fax_number": "603-663-8015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVATS",
        "first_name": "SUDARSHAN",
        "middle_name": "SRIKANTH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "23542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.