Organization Active NPI

Sriram Iyer Medical, PC

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1427450428
Registry record updated Dec 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
SRIRAM IYER MEDICAL, PC
Practice address
791 Park Ave
New York, NY 10021-3551
Phone
(212) 290-1300
Fax
(646) 219-2255
NPI assigned
Sep 22, 2014
Last updated
Dec 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2014

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

Authorized official

Name
Sriram S. Iyer, MDNPI 1013974617
Title
Authorized Rep/Owner
Phone
(212) 290-1300

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
Interventional Cardiology Physician 207RI0011X NY Primary

Addresses

Primary practice location

791 Park Ave
New York, NY 10021-3551

Mailing address

791 Park Ave
New York, NY 10021-3551
Phone (212) 290-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141218000495 NY Part B Supplier - Clinic/Group Practice 4183947435 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9979/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419638400000",
    "number": "1427450428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213551",
            "telephone_number": "212-290-1300",
            "fax_number": "646-219-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213551",
            "telephone_number": "212-290-1300",
            "fax_number": "646-219-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIRAM IYER MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-12-27",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "SRIRAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "212-290-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.