Individual provider Active NPI

Pradeep Srivastava, MD FA CC

  • Cardiovascular Disease Physician
  • Greenbelt, MD
National Provider Identifier
1265500748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D33483 Issued in MD
Practice address
7227 B Hanover Parkway
Greenbelt, MD 20770
Phone
(301) 474-9222
Fax
(301) 474-9225
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D33483 MD Primary

Addresses

Primary practice location

7227 B Hanover Parkway
Greenbelt, MD 20770

Mailing address

9804 Bent Cross Road
Bethesda, MD 20854
Phone (301) 983-3575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001468 DC Practitioner - Cardiovascular Disease (Cardiology) 9335122498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7227 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2025
Phone (301) 474-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D33483MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Vascular Labs CurrentSince Sep 29, 2022 Accepting new patients
Washington Cardiovascular Institute LLC Cardiovascular Disease Past Accepting new patients
Maryland Cardiac & Medical Associates, PC. Past Accepting new patients

Locations

7227 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 474-9222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265500748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 BENT CROSS ROAD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-983-3575",
            "fax_number": "301-983-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 B HANOVER PARKWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-474-9222",
            "fax_number": "301-474-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "MD FA CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D33483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.