Active NPI
Prasad Satyasai Vadde, MD
- Cardiovascular Disease Physician
- Staten Island, NY
National Provider Identifier
1225198187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 128793
- Practice address
- 50 Rome Ave
Staten Island, NY 10304-4318 - Phone
- (718) 447-7222
- Fax
- (718) 447-7223
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 128793 | NY | Primary |
Addresses
Primary practice location
50 Rome Ave
Staten Island, NY 10304-4318
Mailing address
50 Rome Ave
Staten Island, NY 10304-4318
Phone (718) 447-7222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717060 | Medicaid | NY | |
| 0480459 | Other | NY | EVERCARE |
| 2C4145 | Other | NY | TOUCHSTONE |
Other names 1
- Dr. Satyasai Prasad Vadde
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruby Family Healthcare | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Staten Island, NY
- NPI 1184855116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1225198187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ROME AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044318",
"telephone_number": "718-447-7222",
"fax_number": "718-447-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ROME AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044318",
"telephone_number": "718-447-7222",
"fax_number": "718-447-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADDE",
"first_name": "PRASAD",
"middle_name": "SATYASAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "128793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "717060",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0480459",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOUCHSTONE",
"identifier": "2C4145",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SATYASAI",
"last_name": "VADDE",
"middle_name": "PRASAD",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.