Individual provider Active NPI

Srijan Tandukar, MD

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1346675188
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD462976 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-2638
Fax
(215) 349-5703
NPI assigned
Sep 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MD462976 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, PA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191009000132 LA Practitioner - Internal MedicinePractitioner - Nephrology 2769780626
I20220715000054 PA Practitioner - Internal MedicinePractitioner - Nephrology 2769780626 Reassigns benefits to 2 organizations
I20221228000659 NJ Practitioner - Internal MedicinePractitioner - Nephrology 2769780626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E 210
Liver Trans Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (215) 662-6200

51 N 39TH Street 2 Mob
Uphs/Presbyterian Division of Renal Electro
Philadelphia, PA 19104-2640
Phone (215) 662-8730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD462976PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Single Specialty Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
University of Penn-Medical Group Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Single Specialty CurrentSince Dec 19, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey PC Single Specialty CurrentSince Dec 19, 2022 Accepting new patients
University of Penn - Medical Group Single Specialty Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
University of Penn - Medical Group Single Specialty Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

5 Plainsboro Rd
Ste 450
Plainsboro, NJ 08536
Phone (609) 477-3025

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

2106 Harrisburg Pike
Ste 310
Lancaster, PA 17601
Phone (717) 544-0545

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

219 N Broad St
Fl 4
Philadelphia, PA 19107
Phone (215) 762-5550

3400 Civic Center Blvd
#1S
Philadelphia, PA 19104
Phone (215) 615-3321

301 S 7th Ave
Ste 3120
West Reading, PA 19611
Phone (484) 628-2445

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 10

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 6

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1346675188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDUKAR",
        "first_name": "SRIJAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD462976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.