Sriram Viswanathan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041215 Issued in NY

Practice address

4713 Church Ave
Brooklyn, NY 11203-3209

Phone

(646) 461-8400

NPI assigned

May 22, 2020

Last updated

May 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Touro Un Col of Osteopathic Medicine, New York, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bukhman MD PCGroup PAC ID 2961402946, 8 clinicians

La Salud Physical Therapy PLLCGroup PAC ID 4789152422, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Bukhman MD PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1013025782
  Medicare reassignment Care Compare group NPD
• La Salud Physical Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1194667444
  Medicare reassignment Care Compare group
• Org Medical PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1053583682
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1225651334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEXINGTON AVE APT 21H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102932",
            "telephone_number": "917-593-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033209",
            "telephone_number": "646-461-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2256 2nd Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100292202",
            "country_code": "US",
            "telephone_number": "212-758-7777",
            "fax_number": "212-858-0657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "SRIRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bozhena Vistman, ED.M.
• Visual Optometry PLLC (Visual Optometry)
• Kavya Viswanathan
• Kusum Viswanathan, M.D.
• Ramaswamy Viswanathan, M.D.
• Vita Dental P.C.
• Vita Valens Foundation Inc
• Melia Lyn Vita, M.D.
• Casey Ann Vitagliano
• Vital Care Home Health Solutions

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.