Individual provider Active NPI

Srinivasa R. Tirumalareddy, MD

  • Internal Medicine Physician
  • East Norriton, PA
National Provider Identifier
1851344360
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD427298 Issued in PA
Practice address
559 W Germantown Pike
East Norriton, PA 19403-4250
Phone
(484) 622-7071
Fax
(484) 622-4260
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD427298 PA Primary

Addresses

Primary practice location

559 W Germantown Pike
East Norriton, PA 19403-4250

Mailing address

PO Box 820137
Philadelphia, PA 19182-0137
Phone (610) 270-2352

Other identifiers 8

IdentifierTypeStateIssuer
11551039OtherPACAQH ID#
30027296OtherPAKEYSTONE MERCY
7791748OtherPAAETNA PPO
1166904OtherPAAETNA HMO
1783127OtherPAHIGHMARK BLUE SHIELD
2620467000OtherPAIBC - PC/KHPE
1014433750001MedicaidPA
2620467000OtherPAAMERIHEALTH/INTERCOUNTY

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
I20060105000534 PA Practitioner - Internal Medicine 6608899638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Pennsylvania PCGroup PAC ID 9234309840, 94 clinicians

Practice addresses (Care Compare)

559 W Germantown Pike
Einstein Medical Center Montgomery
East Norriton, PA 19403-4250
Phone (484) 622-1000

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD427298PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Oct 1, 2005 Accepting new patients
Einstein Medical Center Montgomery Past Accepting new patients

Locations

1330 Powell St
Ste 100
Norristown, PA 19401
Phone (610) 272-1080

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Interoperability endpoints

  • Direct secure messaging: srinivasa.tirumalareddy@direct.einstein.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1851344360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820137",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820137",
            "telephone_number": "610-270-2352",
            "fax_number": "610-270-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-7071",
            "fax_number": "484-622-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRUMALAREDDY",
        "first_name": "SRINIVASA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD427298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID#",
            "identifier": "11551039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30027296",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7791748",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1166904",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1783127",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - PC/KHPE",
            "identifier": "2620467000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014433750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INTERCOUNTY",
            "identifier": "2620467000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.