NPIMap

Individual provider Active NPI

Arvind Srinivasan, M.D.

  • Urology Physician
  • Hazleton, PA
National Provider Identifier
1316947997
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA10291400 Issued in NJ
Practice address
140 N. Sherman CT
Hazleton, PA 18201
Phone
(570) 450-6333
Fax
(570) 450-6571
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD051265L PA
Urology Physician 208800000X 25MA10291400 NJ Primary

Addresses

Primary practice location

140 N. Sherman CT
Hazleton, PA 18201

Mailing address

1009 Fowler Ave
Berwick, PA 18603-2305
Phone (570) 759-6491

Other identifiers 2

IdentifierTypeStateIssuer
001715561004MedicaidPA
0017155610004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523000490 NJ Practitioner - Urology 5698876217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection28
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051265LPAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Regional Medical Center CurrentSince May 11, 2022 Accepting new patients
Summit Medical Group PA CurrentSince Jan 3, 2022 Accepting new patients
Summit Medical Group PA CurrentSince Jan 3, 2022 Accepting new patients
Atlanticare Physician Group CurrentSince Jun 1, 2018 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jun 1, 2018 Accepting new patients
Atlanticare Regional Medical Center CurrentSince May 11, 2022 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

16 Atlantic Ave
Fl 2
Lynbrook, NY 11563

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1316947997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 FOWLER AVE",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032305",
            "telephone_number": "570-759-6491",
            "fax_number": "570-759-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N. SHERMAN CT",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-450-6333",
            "fax_number": "570-450-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD051265L",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA10291400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001715561004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017155610004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.