Active NPI
Jessie Kumudinidevi Saverimuttu, M.D.
- Infectious Disease Physician
- Staten Island, NY
National Provider Identifier
1457521890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 246193
- Practice address
- 398 Gower St
Staten Island, NY 10314-5333 - Phone
- (646) 417-0747
- Fax
- (718) 865-5134
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 246193 | NY | Primary |
Addresses
Primary practice location
398 Gower St
Staten Island, NY 10314-5333
Mailing address
398 Gower St
Staten Island, NY 10314-5333
Phone (646) 417-0747
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9235428 | Other | ADENA | |
| P4206731 | Other | OXFORD | |
| 3125050 | Other | UNITED HEALTHCARE | |
| 1750734 | Other | GHI | |
| 060QH1 | Other | BLUES CROSS BLUESHIELD | |
| 03179884 | Medicaid | NY | |
| ID PH 43101 | Other | ELDER PLAN | |
| 000600057348 | Other | HEALTH PLUS | |
| 5190872 | Other | CIGNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100416000202 | NY | Practitioner - Infectious Disease | 5294862629 | Practice locations: Staten Island, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- New York Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1161 Victory Blvd
Staten Island, NY 10301-3621
Phone (646) 417-0747
Hospital & facility affiliations
- Richmond University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 56.06 of 100
- Quality
- 62.57
- Improvement activities
- 0
- Cost
- 70.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saverimuttu Medical PC | Infectious Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- Staten Island, NY
- NPI 1649520685
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1457521890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 GOWER ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145333",
"telephone_number": "646-417-0747",
"fax_number": "718-865-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 GOWER ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145333",
"telephone_number": "646-417-0747",
"fax_number": "718-865-5134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVERIMUTTU",
"first_name": "JESSIE",
"middle_name": "KUMUDINIDEVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "246193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADENA",
"identifier": "9235428",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P4206731",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3125050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1750734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUES CROSS BLUESHIELD",
"identifier": "060QH1",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03179884",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER PLAN",
"identifier": "ID PH 43101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000600057348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5190872",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.