Individual provider Active NPI

Ambika Pallavi Eranki

  • Infectious Disease Physician
  • Syracuse, NY
National Provider Identifier
1659528123
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
277363 Issued in NY
Practice address
725 Irving Ave
Ste 311
Syracuse, NY 13210-1603
Phone
(315) 464-5533
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 277363 NY
Internal Medicine Physician 207R00000X 4301093138 MI
Pediatrics Physician 208000000X 4301093138 MI
Infectious Disease Physician 207RI0200X 277363 NY Primary

Addresses

Primary practice location

725 Irving Ave
Ste 311
Syracuse, NY 13210-1603

Mailing address

725 Irving Ave
Ste 311
Syracuse, NY 13210-1603

Other identifiers 1

IdentifierTypeStateIssuer
04015427MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150316000305 NY Practitioner - Infectious Disease 9537486337 Reassigns benefits to 1 organization
I20201116003253 FL Practitioner - Infectious Disease 9537486337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1105 E Kennedy Blvd
Hillsborough County Health Dep.
Tampa, FL 33602-3511
Phone 81330780156401

4202 E Fowler Ave
Tampa, FL 33620-6750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093138MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Jan 18, 2024 Accepting new patients
University Medical Service Association Inc Internal Medicine CurrentSince Oct 27, 2020 Accepting new patients
University Medical Service Association Inc CurrentSince Oct 27, 2020 Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Department of Health CurrentSince Jan 18, 2024 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Nov 1, 2014 Accepting new patients

Locations

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

1105 E Kennedy Blvd
Tampa, FL 33602
Phone (813) 307-8015

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

725 Irving Ave
Ste 311
Syracuse, NY 13210
Phone (315) 464-5533

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aeranki177864@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 8

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 1

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1659528123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "STE 311",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "STE 311",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERANKI",
        "first_name": "AMBIKA",
        "middle_name": "PALLAVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "277363",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093138",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301093138",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "277363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04015427",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.