Active NPI
Ravinder Reddy Cheruku, MD
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 216098-1
- Practice address
- 100 E 77TH St
New York, NY 10021-1850 - Phone
- (212) 434-2878
- NPI assigned
- Jun 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 216098-1 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10021-1850
Mailing address
327 Cresthaven LN
Whitestone, NY 11357-1148
Phone (201) 804-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02042813 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216098-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Skies Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Endoscopy Center of Long Island LLC | Current | Accepting new patients | |
| Choice Anesthesia | Anesthesiology | Current | Accepting new patients |
| Texas Anesthesia Partners, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254
700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102
10740 N Central Expy
Ste 400
Dallas, TX 75231
Phone (214) 360-0000
8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
7115 Greenville Ave
Ste 100
Dallas, TX 75231
Phone (214) 647-5300
3800 Gaylord Pkwy
Ste 410
Frisco, TX 75034
Phone (972) 668-5911
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
9955 Gillespie Dr
Ste 200
Plano, TX 75025
Phone (469) 606-0060
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Endoscopy Clinic/Center
- Garden City, NY
- NPI 1770718009
-
- Anesthesiology Physician
- Irving, TX
- NPI 1750676417
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1548935836
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1144673468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1265438311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 CRESTHAVEN LN",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113571148",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100211850",
"telephone_number": "212-434-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERUKU",
"first_name": "RAVINDER",
"middle_name": "REDDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "216098-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02042813",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.