Individual provider Active NPI

Sridevi Bhumi, M.D.

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1306906938
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
190757-1 Issued in NY
Practice address
901 Stewart Ave
Garden City, NY 11530-4893
Phone
(516) 222-2727
Fax
(309) 296-4929
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 190757-1 NY Primary

Addresses

Primary practice location

901 Stewart Ave
Garden City, NY 11530-4893

Mailing address

8 Quaker LN
Old Westbury, NY 11568-1320
Phone (516) 222-2727

Other identifiers 1

IdentifierTypeStateIssuer
02216255MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050205000008 NY Practitioner - Gastroenterology 3678524717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Sri Gastroenterology PCGroup PAC ID 7315195237, 2 clinicians

Practice addresses (Care Compare)

901 Stewart Ave
Suite 260
Garden City, NY 11530-4894
Phone (516) 222-2727

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy174
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190757-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Gastroenterology PC Gastroenterology CurrentSince Jan 1, 2005 Accepting new patients
Richard Ferstenberg, MD, PC Gastroenterology Past Accepting new patients
North American Partners in Anesthesia LLP Past Accepting new patients

Locations

901 Stewart Ave
Garden City, NY 11530
Phone (516) 222-2727

901 Stewart Ave
Ste 260
Garden City, NY 11530
Phone (516) 222-2727

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.

Hospital & facility affiliations 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1306906938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 QUAKER LN",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681320",
            "telephone_number": "516-222-2727",
            "fax_number": "309-296-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-222-2727",
            "fax_number": "309-296-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUMI",
        "first_name": "SRIDEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "190757-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.