NPIMap

Individual provider Active NPI

Srinivasa Rao Movva, M.D.

  • Internal Medicine Physician
  • Atlantic Highlands, NJ
National Provider Identifier
1699720508
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA6591900 Issued in NJ
Practice address
37 E Washington Ave
Atlantic Highlands, NJ 07716-1327
Phone
(783) 291-3430
Fax
(732) 291-5659
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA6591900 NJ Primary

Addresses

Primary practice location

37 E Washington Ave
Atlantic Highlands, NJ 07716-1327

Mailing address

37 E Washington Ave
Atlantic Highlands, NJ 07716-1327
Phone (783) 291-3430

Other identifiers 1

IdentifierTypeStateIssuer
7704305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20041208000034 NJ Practitioner - Internal Medicine 7618933276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1041 Hwy 36
Suite 300
Atlantic Highlands, NJ 07716-2518
Phone (732) 291-3430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as individual
Quality
39.04
Improvement activities
40
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA6591900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivasa R. Movva, M.D.PC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Spectrum Health Hospitals Internal Medicine Past Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine Past Accepting new patients

Locations

37 E Washington Ave
Atlantic Hlds, NJ 07716
Phone (732) 291-3430

1041 Highway 36
Ste 300
Atlantic Hlds, NJ 07716
Phone (732) 291-3430

Organizations & group practices 3

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 8

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1699720508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E WASHINGTON AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161327",
            "telephone_number": "783-291-3430",
            "fax_number": "732-291-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WASHINGTON AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161327",
            "telephone_number": "783-291-3430",
            "fax_number": "732-291-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVVA",
        "first_name": "SRINIVASA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA6591900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

Verify at the official NPI Registry.