Active NPI
Ambika Pallavi Eranki
- Infectious Disease Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 277363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015427 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093138 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| University Medical Service Association Inc | Internal Medicine | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Internal Medicine | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Department of Medicine Medical Service Group | Current | 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
- aeranki177864@direct.tgh.org
- 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.
-
- Public Health or Welfare Agency
- Tampa, FL
- NPI 1124090832
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.