Individual provider Active NPI

Jessie Kumudinidevi Saverimuttu, M.D.

  • Infectious Disease Physician
  • Staten Island, NY
National Provider Identifier
1457521890
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
246193 Issued in NY
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

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9235428OtherADENA
P4206731OtherOXFORD
3125050OtherUNITED HEALTHCARE
1750734OtherGHI
060QH1OtherBLUES CROSS BLUESHIELD
03179884MedicaidNY
ID PH 43101OtherELDER PLAN
000600057348OtherHEALTH PLUS
5190872OtherCIGNA

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
I20100416000202 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 5294862629 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
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 Hospital, Staten Island, NY, CCN 330028

Merit-based Incentive Payment System (MIPS)

Final score
56.06 of 100Reported as individual
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

OrganizationSpecialtyStatusNew 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.

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": "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

Verify at the official NPI Registry.