Active NPI
Sree Chirumamilla, MD
- Pediatric Critical Care Medicine Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 256469
- Practice address
- 19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144 - Phone
- (914) 493-7513
- Fax
- (914) 493-1281
- NPI assigned
- Jul 29, 2005
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | R5100 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 256469 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144
Mailing address
22 Saw Mill River Rd
2ND Floor
Hawthorne, NY 10532-1533
Phone (914) 593-7513
Other practice location 1
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700
Other practice location 2
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02717802 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NV, NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
File 50978
Los Angeles, CA 90074
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- schirumamilla267717@direct.ahsys.org
- sree.chirumamilla@direct.myhealthep.org
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
dba Pediatrix Medical Group of Nevada
- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
Pediatric Critical Care Medicine
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
dba University Pediatric Associates
- Pediatrics Physician
- Newark, NJ
- NPI 1679583272
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Pediatrics Physician
- El Paso, TX
- NPI 1003824038
Pediatric Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1720088768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAW MILL RIVER RD",
"address_2": "2ND FLOOR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321533",
"telephone_number": "914-593-7513",
"fax_number": "914-493-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "SUITE 1400",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322144",
"telephone_number": "914-493-7513",
"fax_number": "914-493-1281"
}
],
"practiceLocations": [
{
"address_1": "4815 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4845 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-215-5700",
"fax_number": "915-215-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIRUMAMILLA",
"first_name": "SREE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "R5100",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "256469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02717802",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.