NPIMap

Individual provider Active NPI

Apoorva Srivastava, D.O.

  • Internal Medicine Physician
  • Slippery Rock, PA
National Provider Identifier
1558606814
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS017087 Issued in PA
Practice address
621 Kelly Blvd
Slippery Rock, PA 16057-8523
Phone
(724) 794-4009
Fax
(724) 794-4099
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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 OS017087 PA Primary

Addresses

Primary practice location

621 Kelly Blvd
Slippery Rock, PA 16057-8523

Mailing address

621 Kelly Blvd
PO Box 143
Slippery Rock, PA 16057-8523
Phone (724) 794-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904001007 PA Practitioner - Internal Medicine 9931415957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS017087PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine Current Accepting new patients
Heritage Valley Multispecialty Group, Inc CurrentSince Sep 23, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Internal Medicine CurrentSince Sep 23, 2019 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

1673 Route 65
Ellwood City, PA 16117
Phone (724) 752-8550

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1558606814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 KELLY BLVD",
            "address_2": "PO BOX 143",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160578523",
            "telephone_number": "724-794-4009",
            "fax_number": "724-794-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KELLY BLVD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160578523",
            "telephone_number": "724-794-4009",
            "fax_number": "724-794-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "APOORVA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, PA

Sources for this page

Verify at the official NPI Registry.