Individual provider Active NPI

Radhika Sreeram, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1427342575
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69262 Issued in CT
Practice address
51 Schuyler Ave
Stamford, CT 06902-3730
Phone
(203) 327-1187
Fax
(203) 967-4218
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 276612 NY
Internal Medicine Physician 207R00000X 69262 CT Primary

Addresses

Primary practice location

51 Schuyler Ave
Stamford, CT 06902-3730

Mailing address

51 Schuyler Ave
Stamford, CT 06902-3730
Phone (203) 327-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141104000905 NY Practitioner - Internal Medicine 0042432288 Reassigns benefits to 1 organization
I20210907003470 CT Practitioner - Internal Medicine 0042432288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Mar 15, 2015 Accepting new patients
Stamford Health Medical Group Inc Internal Medicine CurrentSince Sep 27, 2021 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

51 Schuyler Ave
Stamford, CT 06902
Phone (203) 327-1187

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

2100 Bartow Ave
Bronx, NY 10475
Phone (718) 320-5300

111 E 210th St
Bronx, NY 10467

440 White Plains Rd
Eastchester, NY 10709
Phone (914) 395-1530

100 Corporate Dr
#100
Yonkers, NY 10701

1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000

Networks

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

Interoperability endpoints

  • Direct secure messaging: rsreeram@montefioredirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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.

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1427342575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SCHUYLER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023730",
            "telephone_number": "203-327-1187",
            "fax_number": "203-967-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHUYLER AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023730",
            "telephone_number": "203-327-1187",
            "fax_number": "203-967-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREERAM",
        "first_name": "RADHIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "276612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "69262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.