Srinivas Channapragada, M.D.
Individual provider Active NPI Gastroenterology Physician · Springfield, NJ
NPI 1801944632 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1801944632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 25MA05830600 (NJ)
- Practice address
- 43 Green Hill Rd
Springfield, NJ 07081-3615 - Phone
- (908) 522-0829
- Fax
- (908) 522-0849
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
43 Green Hill Rd
Springfield, NJ 07081-3615
Phone (908) 964-6600
Hospital & facility affiliations
- Saint Peter'S University Hospital
- JFK University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 68 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 25 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000177 | NJ | Practitioner - Internal Medicine |
7214972124 | Practice locations: Springfield, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05830600 | NJ | MD | Gastroenterology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA05830600 | NJ | Yes |
Addresses
Primary practice location
43 Green Hill Rd
Springfield, NJ 07081-3615
Mailing address
43 Green Hill Rd
Springfield, NJ 07081-3615
Phone (908) 522-0829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6877702 | Medicaid | NJ | |
| J5609N | Other | NJ | HMO BLUE |
| 83438 | Other | NJ | AMERIGROUP |
| P384199 | Other | NJ | OXFORD |
| 575293 | Other | NJ | AETNA |
| 1115966 | Other | NJ | HORIZON MERCY |
| OK3622 | Other | NJ | HEALTH NET |
Other providers in Springfield, NJ
- Caring Together Homecare LLC
- Aristo Carranza
- Danielle R Catarino
- CCG Medical Group LLC
- CCS Nutrition LLC
- Diane Robin Chazen
- Bernard Chelis
- Eleanor Lillian Cheng
- Jennifer Grande Chieppa
- Circle of Friends Inc.
All providers in Springfield, NJ · Gastroenterology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.