Individual provider Active NPI

Maria Cristina Srinivasan, M.D.

  • Pulmonary Disease Physician
  • Syracuse, NY
National Provider Identifier
1457682536
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
270987 Issued in NY
Practice address
945 E Genesee St
Suite 200
Syracuse, NY 13210-1752
Phone
(315) 475-8401
Fax
(315) 475-0824
NPI assigned
Jan 29, 2010
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 270987 NY Primary

Addresses

Primary practice location

945 E Genesee St
Suite 200
Syracuse, NY 13210-1752

Mailing address

945 E Genesee St
Suite 200
Syracuse, NY 13210-1752
Phone (315) 475-8401

Other identifiers 1

IdentifierTypeStateIssuer
03629352MedicaidNY

Other names 1

  • Maria Cristina Antonie Former name

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
I20130904000213 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5597908947 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

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

4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 15, 2022 Accepting new patients
Montefiore Medical Center Pulmonary Disease CurrentSince Sep 17, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2023 Accepting new patients
SBH Physicians, PC CurrentSince Jan 1, 2015 Accepting new patients
St Josephs Hospital Health Center CurrentSince Aug 1, 2013 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Dec 17, 2013 Accepting new patients
SBH Physicians, PC CurrentSince Jan 1, 2015 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
St. Barnabas Hospital Past Accepting new patients
St Josephs Medical PC PastSince Mar 1, 2020 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

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

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

300 Community Dr
Manhasset, NY 11030

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Networks

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

Interoperability endpoints

  • Direct secure messaging: masrinivas@montefioredirect.com
  • Direct secure messaging: msrinivasan21243@sbhny.direct-ci.net
  • Direct secure messaging: msrinivasan840343@nychhc.direct-ci.com

Organizations & group practices 11

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 3

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1457682536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E GENESEE ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101752",
            "telephone_number": "315-475-8401",
            "fax_number": "315-475-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E GENESEE ST",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101752",
            "telephone_number": "315-475-8401",
            "fax_number": "315-475-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "270987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03629352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ANTONIE",
            "middle_name": "CRISTINA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.