NPIMap

Individual provider Active NPI

Ajay Kumar Srivastava, MD

  • Orthopaedic Surgery Physician
  • Flint, MI
National Provider Identifier
1649429853
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301086367 Issued in MI
Practice address
4466 W Bristol Rd
Family Orthopedic Associates
Flint, MI 48507-3170
Phone
(810) 733-1200
Fax
(810) 733-3130
NPI assigned
Sep 11, 2008
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301086367 MI Primary

Addresses

Primary practice location

4466 W Bristol Rd
Family Orthopedic Associates
Flint, MI 48507-3170

Mailing address

4466 W Bristol Rd
Family Orthopedic Associates
Flint, MI 48507-3170
Phone (810) 733-1200

Other identifiers 2

IdentifierTypeStateIssuer
ON45090OtherMIGRP MEDICARE PTAN
1649429853MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100714000847 MI Practitioner - Orthopedic Surgery 7416089248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.79 of 100Reported as group
Quality
20.79
Promoting interoperability
94
Improvement activities
40
Cost
80.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement69
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Orthopedic Associates P L C Orthopaedic Surgery Current Accepting new patients
Family Orthopedic Associates P L C Orthopaedic Surgery CurrentSince Jul 1, 2010 Accepting new patients
Hurley Medical Center Orthopaedic Surgery CurrentSince Jul 1, 2010 Accepting new patients
Family Orthopedic Associates P L C CurrentSince Jul 1, 2010 Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2010 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

17015 Silver Pkwy
Fenton, MI 48430
Phone (810) 593-0023

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
#3D
Flint, MI 48503
Phone (810) 262-6046

4466 W Bristol Rd
Flint, MI 48507
Phone (810) 733-1200

Interoperability endpoints

  • Direct secure messaging: ajay.srivastava.1@33541.direct.athenahealth.com
  • Direct secure messaging: asrivastava1152186@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1649429853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "address_2": "FAMILY ORTHOPEDIC ASSOCIATES",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "address_2": "FAMILY ORTHOPEDIC ASSOCIATES",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "AJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301086367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICARE PTAN",
            "identifier": "ON45090",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649429853",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.