Individual provider Active NPI

Sriya Avadhani, MD

  • Interventional Cardiology Physician
  • Brooklyn, NY
National Provider Identifier
1821436502
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
290419 Issued in NY
Practice address
450 Clarkson Ave # 1262
Suny Downstate Medical Center
Brooklyn, NY 11203-2012
Phone
(718) 270-8867
NPI assigned
Jun 4, 2013
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 290419 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

450 Clarkson Ave # 1262
Suny Downstate Medical Center
Brooklyn, NY 11203-2012

Mailing address

5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200505000596 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901237080 Reassigns benefits to 2 organizations
I20221006002770 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Interventional Cardiology 6901237080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting45
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Jun 22, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2021 Accepting new patients
New York Heart and Vascular Specialists PC CurrentSince Oct 12, 2022 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Oct 1, 2022 Accepting new patients
Amboy Medical Practice PC CurrentSince Jun 22, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2021 Accepting new patients
Suryanarayan Anand MD PC Past Accepting new patients
North Shore - Lij Anesthesiology, PC PastSince Apr 3, 2022 Accepting new patients

Locations

1471 DeKalb Ave
Fl 4
Brooklyn, NY 11237
Phone (347) 425-1789

3309 Church Ave
Brooklyn, NY 11203
Phone (347) 425-1789

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

480 Bedford Rd
Bldg B
Chappaqua, NY 10514
Phone (914) 242-9400

480 Bedford Rd
Ste 1
Chappaqua, NY 10514

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

8002 Kew Gardens Rd
Ste 323
Kew Gardens, NY 11415
Phone (718) 268-6300

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

300 Community Dr
Manhasset, NY 11030

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

362 N Broadway
Ste 1
Sleepy Hollow, NY 10591

360 Bard Ave
Lowr
Staten Island, NY 10310
Phone (718) 818-2186

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

972 Brush Hollow Rd
Westbury, NY 11590

2649 Strang Blvd
Yorktown Hts, NY 10598
Phone (914) 245-2681

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: savadhani28142@northwell.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1821436502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CUBA HILL RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401624",
            "telephone_number": "631-628-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 1262",
            "address_2": "SUNY DOWNSTATE MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVADHANI",
        "first_name": "SRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "290419",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.