Individual provider Active NPI

Abhay Srinivasan, M.D.

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1841480084
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
430614 Issued in PA
Practice address
34TH & Civic Center Blvd
Children's Hospital of Philadelphia
Philadelphia, PA 19104-4399
Phone
(215) 590-1000
Fax
(215) 590-2204
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 430614 PA Primary
Pediatric Radiology Physician 2085P0229X MD430614 PA

Addresses

Primary practice location

34TH & Civic Center Blvd
Children's Hospital of Philadelphia
Philadelphia, PA 19104-4399

Mailing address

3535 Market St
12TH Floor, Suite 1220 - Chop Dept of Msa
Philadelphia, PA 19104-3309
Phone (215) 590-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120629000393 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3072667922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Children's Hospital, IncGroup PAC ID 0345154399, 40 clinicians

Practice addresses (Care Compare)

3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430614PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jul 1, 2019 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2018 Accepting new patients
University of Penn-Medical Group Pediatric Radiology CurrentSince Jul 1, 2015 Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Ut Imaging - Houston LLP Past Accepting new patients
Geisinger-HM Joint Venture, LLC Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

35 Justin Dr
Danville, PA 17821
Phone (570) 271-6028

100 N Academy Ave
Danville, PA 17822

420 W Linfield Trappe Rd
Ste 102
Limerick, PA 19468
Phone (484) 938-4030

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

5 Lakeview Dr
Moosic, PA 18507
Phone (570) 558-2180

255 Route 220 Hwy
Ste 205
Muncy, PA 17756
Phone (570) 308-2445

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

250 King of Prussia Rd
Ste 3
Radnor, PA 19087
Phone (610) 902-1800

420 W Linfield Trappe Rd
Royersford, PA 19468
Phone (610) 279-8686

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

703 Martin F Gibbons Blvd
Scranton, PA 18519
Phone (570) 846-2340

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

20 Diana Ln
West Hazleton, PA 18202
Phone (570) 790-2260

950 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 808-3290

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1841480084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST",
            "address_2": "12TH FLOOR, SUITE 1220 - CHOP DEPT OF MSA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043309",
            "telephone_number": "215-590-4670",
            "fax_number": "215-590-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH & CIVIC CENTER BLVD",
            "address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044399",
            "telephone_number": "215-590-1000",
            "fax_number": "215-590-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "ABHAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "430614",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PA",
            "license": "MD430614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.