Individual provider Active NPI

Swaminathan Chennareddy, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1508895251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
112288 Issued in NY
Practice address
240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465
Phone
(718) 250-8866
Fax
(718) 250-6703
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 112288 NY Primary

Addresses

Primary practice location

240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465

Mailing address

30 Puritan Ave
Forest Hills, NY 11375-6029
Phone (718) 263-7970

Other identifiers 1

IdentifierTypeStateIssuer
00203118MedicaidNY

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
I20050603000550 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0941243653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarath Reddy MD PCGroup PAC ID 5890798201, 3 clinicians
TBHC Medical Services PCGroup PAC ID 1850281916, 33 clinicians

Practice addresses (Care Compare)

10105 Lefferts Blvd
Suite 203
South Richmond Hill, NY 11419-2014
Phone (718) 441-8086

3323 Union St
Flushing, NY 11354-3050
Phone (718) 670-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TBHC Medical Services PC CurrentSince Apr 18, 2017 Accepting new patients
Sarath Reddy MD PC CurrentSince Dec 1, 2014 Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

14 Hanover Pl
Brooklyn, NY 11201
Phone (718) 250-8866

964 Rutland Rd
#H
Brooklyn, NY 11212
Phone (718) 773-1058

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

8735 Britton Ave
Elmhurst, NY 11373
Phone (516) 378-0184

10105 Lefferts Blvd
Ste 203
South Richmond Hl, NY 11419
Phone (718) 441-8086

Networks

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

Interoperability endpoints

  • Direct secure messaging: schennareddy10512@prd.direct.tbh.org
  • Direct secure messaging: chennareddyswaminathan@iha.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508895251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PURITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756029",
            "telephone_number": "718-263-7970",
            "fax_number": "718-250-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-8866",
            "fax_number": "718-250-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNAREDDY",
        "first_name": "SWAMINATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "112288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00203118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.