Active NPI
Srijan Tandukar, MD
- Nephrology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD462976
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD462976 | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| University of Penn-Medical Group | Single Specialty | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, P.C. | Single Specialty | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Single Specialty | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey PC | Single Specialty | Current | 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.
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
Single Specialty
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Single Specialty
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
Single Specialty
-
- Hepatology Physician
- West Chester, PA
- NPI 1396416251
Single Specialty
-
- Psychologist
- West Chester, PA
- NPI 1649940107
Single Specialty
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Primary Podiatric Medicine Podiatrist
- Mount Laurel, NJ
- NPI 1780296731
Single Specialty
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Single Specialty
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.