Samartharadhya Iyanalli Srishailaradhya, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

61185 Issued in CT

Practice address

34 Maple St
Norwalk, CT 06850

Phone

(203) 852-2000

NPI assigned

Sep 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1346441953
  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581
  Care Compare affiliation
• Norwalk Hospital Association

  • Land Ambulance
  • Norwalk, CT
  • NPI 1477546521

  Hospital

  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880
  Care Compare affiliation

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1659740751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E 235TH ST APT 5F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104702438",
            "telephone_number": "929-249-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAPLE ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06850",
            "telephone_number": "203-852-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYANALLI SRISHAILARADHYA",
        "first_name": "SAMARTHARADHYA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "61185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Iovinelli, RN
• Tamreen Iqbal
• Andrew Joseph Irrera, LADC
• Steven Irwin
• Gaile V Ivaska, PTA
• J & L Speech Services Inc
• Beverly P Jackson, Ň.D.
• Dorye Emory Jackson, LCSW
• Natalie Lynn Jackson, LCSW
• Sandra Paola Jackson, NURSE PRACTITIONER

• Internal Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.

Verify at the official NPI Registry.