Individual provider Active NPI

Nithan Narendra, M.D.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1457531873
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
244968 Issued in NY
Practice address
4422 3Rd Ave
Dept. of Medicine
Bronx, NY 10457-2545
Phone
(718) 960-6205
NPI assigned
Nov 14, 2007
Last updated
Jul 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 244968 NY Primary

Addresses

Primary practice location

4422 3Rd Ave
Dept. of Medicine
Bronx, NY 10457-2545

Mailing address

339 E 22ND St
Apt. 1
New York, NY 10010-4809
Phone (516) 849-7720

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
I20110907000756 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2567531155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

260 E 188TH St
Bronx, NY 10458-5302
Phone (718) 618-8236

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244968NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Health Center, Inc. CurrentSince Dec 14, 2021 Accepting new patients
SBH Physicians, PC CurrentSince Nov 1, 2014 Accepting new patients
Siuc Medical PC CurrentSince Jan 19, 2019 Accepting new patients
SBH Physicians, PC Gastroenterology CurrentSince Nov 1, 2014 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

326 E 149th St
Bronx, NY 10451
Phone (718) 402-6380

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

Networks

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

Interoperability endpoints

  • Direct secure messaging: nnarendra20935@sbhny.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1457531873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E 22ND ST",
            "address_2": "APT. 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104809",
            "telephone_number": "516-849-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "address_2": "DEPT. OF MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARENDRA",
        "first_name": "NITHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "244968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.