Individual provider Active NPI

Srinivasa Eswarapu, MD

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1346215225
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA68009 Issued in NJ
Practice address
252 Washington Ave
Belleville, NJ 07109-3155
Phone
(973) 450-9600
Fax
(973) 450-4054
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA68009 NJ Primary

Addresses

Primary practice location

252 Washington Ave
Belleville, NJ 07109-3155

Mailing address

35 Calvert Ave E
Edison, NJ 08820-3251
Phone (973) 450-9600

Other identifiers 1

IdentifierTypeStateIssuer
8044104MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080108000010 NJ Practitioner - Internal Medicine 2264512920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

246 Washington Ave
Suite 201
Belleville, NJ 07109-3730
Phone (973) 450-9600

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68009NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Medical Center, LLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: srinivasa.eswarapu@glacecentral.com
  • Direct secure messaging: seswarapu@direct.rwjbh.org

Organizations & group practices 1

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 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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1346215225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALVERT AVE E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203251",
            "telephone_number": "973-450-9600",
            "fax_number": "973-450-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093155",
            "telephone_number": "973-450-9600",
            "fax_number": "973-450-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESWARAPU",
        "first_name": "SRINIVASA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA68009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8044104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.