Vinee Srivastava, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35930 Issued in AZ

Practice address

3411 N 5TH Ave., Ste 209
Regional Admin Office
Phoenix, AZ 85013-3812

Phone

(602) 789-0344

Fax

(602) 789-8389

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Medical and Post-Acute Services LLCGroup PAC ID 5991164402, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Azul Hospice & Palliative Care Hospice, Scottsdale, AZ, CCN 031762
• Emblem Hospice West Hospice, Phoenix, AZ, CCN 031661
• Emblem Hospice Hospice, Tempe, AZ, CCN 031595
• Emblem Hospice Central Hospice, Phoenix, AZ, CCN 031579
• Sun City Post Acute Nursing home, Sun City, AZ, CCN 035225
• Bella Vita Health and Rehabilitation Center Nursing home, Glendale, AZ, CCN 035092
• Boswell Transitional Care of Cascadia Nursing home, Sun City, AZ, CCN 035121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Renewcare of Scottsdale, Inc.

  • Skilled Nursing Facility
  • Scottsdale, AZ
  • NPI 1487731022

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Sun City of Cascadia LLC

  • Skilled Nursing Facility
  • Sun City, AZ
  • NPI 1306578737

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sun City SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Sun City, AZ
  • NPI 1275227142

  Contracted Managing Employee

  CMS ownership
• Whitetank Mountain Healthcare LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1912665571

  Contracted Managing Employee

  CMS ownership

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.

• Clark Medical and Post-Acute Services, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1437851417
  Medicare reassignment Care Compare group NPD
• Ternion Physician Group, PLLC

  • Internal Medicine Physician
  • Anthem, AZ
  • NPI 1013466192
  Medicare reassignment NPD
• Glendale Healthcare Associates LLC

  • Skilled Nursing Facility
  • Glendale, AZ
  • NPI 1174518013
  NPD (past)
• Sun City of Cascadia LLC

  • Skilled Nursing Facility
  • Sun City, AZ
  • NPI 1306578737
  NPD (past)
• Sun City SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Sun City, AZ
  • NPI 1275227142
  NPD (past)

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

• Cactus Heights Healthcare LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1871125849
  Care Compare affiliation
• Emblem Healthcare, Inc.

  • Community Based Hospice Care Agency
  • Tempe, AZ
  • NPI 1487999405
  Care Compare affiliation
• Glendale Healthcare Associates LLC

  • Skilled Nursing Facility
  • Glendale, AZ
  • NPI 1174518013

  Nursing home

  Care Compare affiliation
• Hospice of Sedona Inc

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
  • NPI 1174192298
  Care Compare affiliation
• Sun City of Cascadia LLC

  • Skilled Nursing Facility
  • Sun City, AZ
  • NPI 1306578737

  Nursing home

  Care Compare affiliation
• Sun City SNF Healthcare, LLC

  • Skilled Nursing Facility
  • Sun City, AZ
  • NPI 1275227142

  Nursing home

  Care Compare affiliation
• Whitetank Mountain Healthcare LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1912665571
  Care Compare affiliation

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1720130628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE., STE. 209",
            "address_2": "REGIONAL ADMIN OFFICE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 5TH AVE., STE 209",
            "address_2": "REGIONAL ADMIN OFFICE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "VINEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177262",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TYPE UNSPECIFIED",
            "identifier": "112867",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TYPE UNSPECIFIED",
            "identifier": "Z112869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sivaramakris Sridhar, M.D.
• Tracey Renee Sridharan, ED.S., NCSP
• Indu Srinivasan, M.D.
• Rosemary Aguilar Srisuk, PA -C
• Amit Srivastava
• Komandoor Srivathsan, M.D.
• Lauren Srock, SLPA
• Saif Michel Yousef Srouji, MBBS
• SRP Facility
• SRP Facility PLLC

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.