Organization Active NPI

Sri Gastroenterology PC

  • Gastroenterology Physician
  • Garden City, NY
National Provider Identifier
1356606743
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SRI GASTROENTEROLOGY PC
Practice address
901 Stewart Ave
Garden City, NY 11530-4893
Phone
(516) 222-2727
Fax
(718) 416-3652
NPI assigned
Jul 11, 2012
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Sridevi Bhumi, MDNPI 1306906938
Title
Physician
Phone
(718) 416-4389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

901 Stewart Ave
Garden City, NY 11530-4893

Mailing address

8 Quaker LN
Old Westbury, NY 11568-1320
Phone (718) 416-4389

Other identifiers 2

IdentifierTypeStateIssuer
A1000075759OtherNYMEDICARE PTAN
A400075761OtherNYMEDICARE PTAN OTHER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000297 NY Part B Supplier - Clinic/Group Practice 7315195237 Receives reassigned benefits from 16 practitioners
Practice locations: Garden City, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2243338Sri Gastroenterology, PC901 Stewart Ave #260, Garden City, NY 11530ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1356606743",
    "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": "718-416-4389",
            "fax_number": "718-416-3652"
        },
        {
            "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": "718-416-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "BHUMI",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-416-4389",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A1000075759",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OTHER",
            "identifier": "A400075761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.