Individual provider Active NPI

Santosha Adipudi Vardhana, M.D., PH.D

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1366732083
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
505 East 70TH Street
Weill Cornell Im Associates
New York, NY 10021-0012
Phone
(212) 746-3587
Fax
(212) 746-8051
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

505 East 70TH Street
Weill Cornell Im Associates
New York, NY 10021-0012

Mailing address

505 East 70TH Street
Weill Cornell Im Associates
New York, NY 10021-0012
Phone (212) 746-3587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170809000059 NY Practitioner - Medical OncologyPractitioner - Internal Medicine 6204107329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.57 of 100Reported as group
Quality
70.48
Improvement activities
40
Cost
69.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hematology Lymphoma Group CurrentSince Jul 1, 2017 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Jul 1, 2017 Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: svardhana39923@mskcc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1366732083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 EAST 70TH STREET",
            "address_2": "WEILL CORNELL IM ASSOCIATES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210012",
            "telephone_number": "212-746-3587",
            "fax_number": "212-746-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 EAST 70TH STREET",
            "address_2": "WEILL CORNELL IM ASSOCIATES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210012",
            "telephone_number": "212-746-3587",
            "fax_number": "212-746-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDHANA",
        "first_name": "SANTOSHA",
        "middle_name": "ADIPUDI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.