Active NPI
Sudarshan Srikanth Srivats, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Hospital Medicine Services of NH, LLC | Current | 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
- 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.
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1427154335
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1528150273
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.