Srinivas Duvvuri, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

192451 Issued in NY

Practice address

11 Ralph Place
Suite 109
Staten Island, NY 10304-4419

Phone

(718) 981-2684

Fax

(718) 981-5003

NPI assigned

Jun 1, 2006

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Cardiovascular Disease (Cardiology)

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 4880945955, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: sduvvuri64504@northwell.direct-ci.com
• Direct secure messaging: srinivasduvvuri@ccsi.allscriptsdirect.net

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.

• Icahn School of Medicine at Mount Sinai

  dba Mt Sinai Doctors Staten Island Medicine

  • Hematology & Oncology Physician
  • Staten Island, NY
  • NPI 1457867707

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Bard Cardiology Associates, PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1366513152
  NPD (past)
• Samala R Swamy, MD, PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1003067091
  NPD (past)
• Zahir H Rahman MD PLLC

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1598413759
  NPD (past)

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

• Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1740389154
  Care Compare affiliation
• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1841237526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PLACE",
            "address_2": "SUITE 109",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-981-2684",
            "fax_number": "718-981-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PLACE",
            "address_2": "SUITE 109",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044419",
            "telephone_number": "718-981-2684",
            "fax_number": "718-981-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVVURI",
        "first_name": "SRINIVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "192451",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "192451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01001582",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTHCARE",
            "identifier": "10219P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "4637405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom Zef Dusi, BCBA
• Amanda Duval
• Constance Dawn Duval
• Jillian Jayne Duval
• Toni-Marie Duval, L.P.N
• Luba Dvirts, LCSW
• Virginia Sophia Dweck, PHYSICIAN ASSISTANT
• Aviva Gold Dworkin
• Karen Ann Dwyer-Tesoriero, LCSW
• Gerald Walter Dwyer, LCSW

• Interventional Cardiology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Interventional Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.

Verify at the official NPI Registry.