Active NPI
Swaminatha V Gurudevan, MD
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 317145
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025-1716 - Phone
- (212) 523-2400
- NPI assigned
- Oct 2, 2006
- Last updated
- Mar 7, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A702120 | Medicaid | CA | |
| A70212 | Other | CA | CA MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY, CO, OH, IN, PA, SC, FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
- American Health Network of Indiana LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| A70212 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| Omni Healthcare, Inc. | Internal Medicine | Current | Accepting new patients |
| American Health Network of Ohio, LLC | Current | Accepting new patients | |
| Primary Care Partners, Inc. | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Integrative Cardiovascular Center of la Jolla | Cardiovascular Disease | Current | Accepting new patients |
| Primary Care Partners, Inc. | Current | Accepting new patients | |
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
| Optumcare New Mexico LLC | Current | Accepting new patients | |
| American Health Network of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Family Practice Center, PC | Current | 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 | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Cardiovascular Disease | Current | Accepting new patients |
| Colonial Family Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Family Practice Center, PC | Internal Medicine | Current | 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
- swaminatha.gurudevan.p1@direct.lakeside.nextgenshare.com
- 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.
-
dba Cardio Vascular Institute of Mount Sinai
- Cardiovascular Disease Physician
- New York, NY
- NPI 1487912416
-
- Family Medicine Physician
- Columbus, OH
- NPI 1386675544
Internal Medicine
-
dba American Health Network of Indiana LLC/TELERADIOLOGY
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
NY
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
-
dba American Health Network of Ohio LLC / TELERADIOLOGY
- Radiology Clinic/Center
- Columbus, OH
- NPI 1548142987
NY
-
dba Colonial Family Practice
- Family Medicine Physician
- Sumter, SC
- NPI 1518074640
Internal Medicine
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1336531516
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- 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.