Active NPI
Sirisha R Tikko, MD
- Physical Medicine & Rehabilitation Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 140979
- Practice address
- 161 Madison Ave
Suite 10E
New York, NY 10016 - Phone
- (212) 889-5914
- Fax
- (212) 889-1963
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 140979 | NY | Primary |
Addresses
Primary practice location
161 Madison Ave
Suite 10E
New York, NY 10016
Mailing address
161 Madison Ave
Suite 10E
New York, NY 10016
Phone (212) 889-5914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01025896 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1970
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
- Burke Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140979 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| TBHC Physician Services PC | Current | Accepting new patients | |
| Pak Podiatry | Past | Accepting new patients | |
| Winifred Masterson Burke Rehabilitation Hospital | Past | Accepting new patients | |
| Plaza East Internal Medicine PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Physical Medicine & Rehabilitation
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Foot & Ankle Surgery Podiatrist
- Jackson Heights, NY
- NPI 1528310398
-
- Legal Medicine
- New York, NY
- NPI 1699787259
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497856041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"address_2": "SUITE 10E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-889-5914",
"fax_number": "212-889-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MADISON AVE",
"address_2": "SUITE 10E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-889-5914",
"fax_number": "212-889-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIKKO",
"first_name": "SIRISHA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "140979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01025896",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.