Individual provider Active NPI

Sreekumar Sukumaran Nair, M.D

  • Anesthesiology Physician
  • New Hyde Park, NY
National Provider Identifier
1639496748
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
257201 Issued in NY
Practice address
318 Hillside Dr S
New Hyde Park, NY 11040-2720
Phone
(516) 747-0718
NPI assigned
Apr 28, 2010
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 257201 NY Primary

Addresses

Primary practice location

318 Hillside Dr S
New Hyde Park, NY 11040-2720

Mailing address

318 Hillside Dr S
New Hyde Park, NY 11040-2720

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
I20100929000808 NY Practitioner - Anesthesiology 1456477215 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Day Medical PCGroup PAC ID 8022338946, 27 clinicians

Practice addresses (Care Compare)

10721 Queens Blvd
Suite 4
Forest Hills, NY 11375-4451
Phone (516) 626-1000

22215 Northern Blvd
4TH Floor North
Bayside, NY 11361-3603
Phone (516) 626-1000

5314 Roosevelt Ave
Suite 302
Woodside, NY 11377-4239
Phone (516) 626-1000

8708 Justice Ave
Suite 14
Elmhurst, NY 11373-4575
Phone (718) 507-8866

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Endoscopy Center LLC CurrentSince Jul 22, 2012 Accepting new patients
Great South Bay Endoscopy Center, LLC CurrentSince Feb 4, 2019 Accepting new patients
Digestive Diseases Diagnostic & Treatment Center LLC CurrentSince May 13, 2012 Accepting new patients
New Day Medical PC Anesthesiology CurrentSince Apr 6, 2025 Accepting new patients
Queens Boulevard ASC LLC CurrentSince Jul 19, 2013 Accepting new patients
West Side Gi, LLC CurrentSince Oct 16, 2012 Accepting new patients
The Light Medical, PC CurrentSince Jan 1, 2020 Accepting new patients
Flushing Endoscopy Center LLC Anesthesiology CurrentSince Feb 19, 2014 Accepting new patients
Mid-Atlantic Medical Services,PC Past Accepting new patients
Westend Medical Services,PC Past Accepting new patients
Blair S. Lewis, M.D.,P.C. PastSince Feb 6, 2009 Accepting new patients
St Kilda Medical Service,PLLC PastSince Dec 1, 2010 Accepting new patients
Manhattan West Side Medical Service PLLC PastSince Mar 1, 2020 Accepting new patients
SS Medical Services PLLC PastSince Nov 28, 2011 Accepting new patients
Manhattan West Side Medical Services PLLC PastSince Mar 15, 2021 Accepting new patients
East Manhattan Medical Services,PC PastSince Nov 13, 2011 Accepting new patients
MPG Medical Services, PLLC PastSince Nov 7, 2011 Accepting new patients
Queens Perioperative Medical Associates, PLLC Anesthesiology Past Accepting new patients

Locations

2063 Bartow Ave
Bronx, NY 10475
Phone (718) 379-8022

2063 Bartow Ave
Ste A
Bronx, NY 10475
Phone (718) 379-8800

260 Patchogue Yaphank Rd
Ste C
East Patchogue, NY 11772
Phone (631) 289-0300

13602 Roosevelt Ave
Bsmt
Flushing, NY 11354
Phone (718) 886-6648

40 E 10th St
Ste 1W
New York, NY 10003
Phone (212) 344-9524

535 5th Ave
Fl 5
New York, NY 10017
Phone (212) 682-2828

535 E 5th Ave
New York, NY 10017
Phone (212) 628-8282

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1808/brand/1/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1639496748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HILLSIDE DR S",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HILLSIDE DR S",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402720",
            "telephone_number": "516-747-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "SREEKUMAR",
        "middle_name": "SUKUMARAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "257201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.