Pankaj Srivastava, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD34709 Issued in TN

Practice address

1445 US Highway 51 Byp E
Suite C
Dyersburg, TN 38024-2127

Phone

(731) 286-1900

Fax

(731) 286-1939

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Care Rite PLLCGroup PAC ID 7911160254, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Lauderdale Community Hospital Hospital, Ripley, TN, CCN 441314

Merit-based Incentive Payment System (MIPS)

Final score

58.05 of 100Reported as apm

Quality

70.8

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psriva01@yourcarecommunity.org

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.

• Care Rite PLLC

  • Family Medicine Physician
  • Dyersburg, TN
  • NPI 1477827418
  Medicare reassignment Care Compare group NPD
• Care Rite, PLLC

  • Clinic/Center
  • Halls, TN
  • NPI 1801207766
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dyersburg Health

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• HHC, LLC

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Lauderdale Community Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, TN
  • NPI 1356973663
  Care Compare affiliation
• Lauderdale Community Hospital LLC

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1376175687
  Care Compare affiliation
• Lifeline of West Tennessee, LLC

  • Home Health Agency
  • Dyersburg, TN
  • NPI 1821288572
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1487655957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 US HIGHWAY 51 BYP E",
            "address_2": "SUITE C",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242127",
            "telephone_number": "731-286-1900",
            "fax_number": "731-286-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD34709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH",
            "identifier": "000000118807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3862247",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4012046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNI",
            "identifier": "62-1815075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile by Design Family Dentistry
• Hunter Curtis Smith, PHARMD
• Kerry Howard Smith, PT
• Wendy Gilton Smith, PT
• Dimitrius Sneed
• Amy W Staggs, PT
• Kimberly Dawn Stanfield, LCSW
• Lisa Dawn Stanley, R.N.
• State of Tennessee
• Teresa L Stavely, D.D.S.

• Internal Medicine Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.

Verify at the official NPI Registry.