Individual provider Active NPI

Seshadri Das, MD,FACP,MRCP,FACE.

  • Endocrinology, Diabetes & Metabolism Physician
  • Staten Island, NY
National Provider Identifier
1477664134
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
157846 Issued in NY
Practice address
774 Manor Rd
Suite 208
Staten Island, NY 10314-7038
Phone
(718) 273-5522
Fax
(718) 273-6522
NPI assigned
Aug 31, 2006
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 157846 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 157846 NY Primary

Addresses

Primary practice location

774 Manor Rd
Suite 208
Staten Island, NY 10314-7038

Mailing address

774 Manor Rd
Suite 208
Staten Island, NY 10314-7038
Phone (718) 273-5522

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
I20040319000242 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 7517857741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

754 Manor Rd
Staten Island, NY 10314-7003
Phone (718) 273-5522

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Endo-Metabolic Practice PLLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3722 82nd St
Jackson Hts, NY 11372
Phone (718) 779-1600

11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565

1441 South Ave
Staten Island, NY 10314
Phone (332) 243-6900

476 Klondike Ave
Staten Island, NY 10314
Phone (718) 494-7670

754 Manor Rd
Staten Island, NY 10314
Phone (718) 273-5522

Networks

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

Organizations & group practices 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1477664134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 208",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038",
            "telephone_number": "718-273-5522",
            "fax_number": "718-273-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 MANOR RD",
            "address_2": "SUITE 208",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147038",
            "telephone_number": "718-273-5522",
            "fax_number": "718-273-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "SESHADRI",
        "credential": "MD,FACP,MRCP,FACE.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "157846",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "157846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.