Srinivas Bonthu, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

197170 Issued in NY

Practice address

169 Riverside Dr
Binghamton, NY 13905-4246

Phone

(518) 786-1291

Fax

(518) 786-1293

NPI assigned

Feb 15, 2006

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 1

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

Specialty

Diagnostic Radiology

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Optum Urgent Care PLLCGroup PAC ID 8628299518, 68 clinicians

Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

City Wide Health Facility, Inc.Group PAC ID 6608766688, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

72.13

Promoting interoperability

91

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• City Wide Health Facility, Inc.

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1013934025
  Medicare reassignment Care Compare group NPD
• Optum Medical Care, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  Medicare reassignment Care Compare group NPD
• Millennium Medical Imaging PC

  • Diagnostic Radiology Physician
  • Saratoga Springs, NY
  • NPI 1235114182
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Mid- Hudson Medical Group P C

  • Family Medicine Physician
  • Fishkill, NY
  • NPI 1043358815
  NPD (past)
• Mount Kisco Medical Group

  • Hematology (Internal Medicine) Physician
  • Fishkill, NY
  • NPI 1952356362

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1558335646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100130",
            "telephone_number": "518-786-1291",
            "fax_number": "518-786-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054246",
            "telephone_number": "518-786-1291",
            "fax_number": "518-786-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTHU",
        "first_name": "SRINIVAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "197170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02677521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Bogdasarian, M.D.
• Brian Anthony Bohunicky
• Stephanie Ann Boland, RN
• Praveen Reddy Bondalapati, MD
• Kelly Bonitz
• Eileen Suzanne Borczon, MD
• Ann Marie Bordeau, PT
• Lauren Bordonaro, RN
• Stephanie Bostic, RDN
• Alissa Bovee, SCM

• Diagnostic Radiology Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.