NPIMap

Individual provider Active NPI

Ravi Vamsi Siriki, MD

  • Nephrology Physician
  • Flushing, NY
National Provider Identifier
1184910523
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
284056 Issued in NY
Practice address
2604 169TH St
Flushing, NY 11358-1131
Phone
(888) 456-4900
NPI assigned
Jun 23, 2011
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 284056 NY Primary

Addresses

Primary practice location

2604 169TH St
Flushing, NY 11358-1131

Mailing address

2604 169TH St
Flushing, NY 11358-1131
Phone (888) 456-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707000013 NY Practitioner - Nephrology 0345548319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Medical Care PLLCGroup PAC ID 3274842224, 3 clinicians

Practice addresses (Care Compare)

2604 169TH St
Flushing, NY 11358-1131
Phone (718) 963-3350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.66 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
45.55

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1184910523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 169TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581131",
            "telephone_number": "888-456-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 169TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581131",
            "telephone_number": "888-456-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIKI",
        "first_name": "RAVI",
        "middle_name": "VAMSI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "284056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.