Individual provider Active NPI

Swaminatha V Gurudevan, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1265525174
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
317145 Issued in NY
Practice address
1111 Amsterdam Ave
New York, NY 10025-1716
Phone
(212) 523-2400
NPI assigned
Oct 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70212 CA
Cardiovascular Disease Physician 207RC0000X A70212 CA
Cardiovascular Disease Physician 207RC0000X 317145 NY Primary

Addresses

Primary practice location

1111 Amsterdam Ave
New York, NY 10025-1716

Mailing address

16229 Dorilee LN
Encino, CA 91436-4201
Phone (619) 733-9131

Other practice location 1

16229 Dorilee Ln
Encino, CA 91436-4201
Phone (619) 733-9131

Other identifiers 2

IdentifierTypeStateIssuer
00A702120MedicaidCA
A70212OtherCACA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, CO, OH, IN, PA, SC, FL, CT9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20050613001326 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294779021 Reassigns benefits to 5 organizations
I20220728002453 NY Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 4 organizations
I20230307000307 CO Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization
I20240125001755 OH Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization
I20240316000401 IN Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization
I20240426000525 PA Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization
I20250124001918 SC Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization
I20250724000896 FL Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization
I20251126002700 CT Practitioner - Cardiovascular Disease (Cardiology) 5294779021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
American Health Network of Indiana LLCGroup PAC ID 9830093533, shared by 10 NPIs, 204 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 523-4000

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 420-3581

1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone (718) 759-6015

270 Susquehanna Valley Mall Dr
Suite 100
Selinsgrove, PA 17870-9115
Phone (570) 884-7921

30 W 63Rd St
Apt 24J
New York, NY 10023-7122
Phone (952) 251-0932

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

680 Buckles CT N
Suite 1a
Columbus, OH 43230-6928
Phone (614) 986-0125

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70212CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Internal Medicine CurrentSince Mar 13, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Nov 11, 2017 Accepting new patients
Omni Healthcare, Inc. Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Dec 12, 2023 Accepting new patients
Primary Care Partners, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Glendale Adventist Medical Center CurrentSince Nov 11, 2017 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jan 25, 2016 Accepting new patients
Integrative Cardiovascular Center of la Jolla Cardiovascular Disease CurrentSince May 5, 2020 Accepting new patients
Primary Care Partners, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Optumcare New Mexico LLC CurrentSince Mar 31, 2024 Accepting new patients
American Health Network of Ohio, LLC Internal Medicine CurrentSince Dec 12, 2023 Accepting new patients
American Health Network of Indiana LLC CurrentSince Mar 13, 2024 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 5, 2020 Accepting new patients
Family Practice Center, PC CurrentSince Mar 23, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Primary Care Partners, Inc. Cardiovascular Disease Current Accepting new patients
Colonial Family Practice, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Colonial Family Practice, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Family Practice Center, PC Internal Medicine CurrentSince Mar 23, 2024 Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Internal Medicine Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Past Accepting new patients
University of California Irvine Past Accepting new patients
North Brevard Medical Support, Inc Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients

Locations (25 of 35)

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

191 S Buena Vista St
Ste 400
Burbank, CA 91505
Phone (818) 818-0023

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

321 E St
Ste B
Chula Vista, CA 91910
Phone (619) 934-3260

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

9834 Genesee Ave
Ste 101
La Jolla, CA 92037
Phone (858) 430-8455

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

6300 N Wickham Rd
Ste 132B
Melbourne, FL 32940
Phone (321) 253-4032

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 208-3866

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

4882 E Main St
Ste 200
Columbus, OH 43213
Phone (614) 237-0835

2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500

Networks

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

Interoperability endpoints

  • Direct secure messaging: swaminatha.gurudevan.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: sgurudevan379463@scrippshlth.medalliesdirect.net

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 11

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265525174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16229 DORILEE LN",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364201",
            "telephone_number": "619-733-9131",
            "fax_number": "818-545-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16229 Dorilee Ln",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364201",
            "country_code": "US",
            "telephone_number": "619-733-9131",
            "fax_number": "818-545-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURUDEVAN",
        "first_name": "SWAMINATHA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70212",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A70212",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "317145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A702120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL BOARD",
            "identifier": "A70212",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.