Active NPI
Hariharan Athreya, MD
- Family Medicine Physician
- New York, NY
National Provider Identifier
1851898522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 88846
- Practice address
- 148 E 38TH St
New York, NY 10016-2607 - Phone
- (833) 955-3592
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 88846 | GA | Primary |
| Medical Specialty Clinic/Center | 261QM2500X | 1043889967 | NY | |
| Medical Specialty Clinic/Center | 261QM2500X | 1992372403 | CT |
Addresses
Primary practice location
148 E 38TH St
New York, NY 10016-2607
Mailing address
756 Elbert St SW
Atlanta, GA 30310-2852
Phone (210) 620-3172
Other practice location 1
500 W Main St Ste 16
Wyckoff, NJ 07481-1406
Phone (844) 359-8363
Other practice location 2
69 Grove St
New Canaan, CT 06840-5325
Phone (833) 929-3520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88846 | GA | MD | Family Medicine Physician |
| 1992372403 | CT | MD | Medical Specialty Clinic/Center |
| 1043889967 | NY | MD | Medical Specialty Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Family Medicine | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
Interoperability endpoints
- hariharan.athreya@49428401684484.direct.elationemr.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1851898522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 ELBERT ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303102852",
"telephone_number": "210-620-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 E 38TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162607",
"telephone_number": "833-955-3592"
}
],
"practiceLocations": [
{
"address_1": "500 W Main St Ste 16",
"address_purpose": "LOCATION",
"city": "Wyckoff",
"state": "NJ",
"postal_code": "074811406",
"country_code": "US",
"telephone_number": "844-359-8363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Grove St",
"address_purpose": "LOCATION",
"city": "New Canaan",
"state": "CT",
"postal_code": "068405325",
"country_code": "US",
"telephone_number": "833-929-3520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATHREYA",
"first_name": "HARIHARAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "88846",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "1043889967",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CT",
"license": "1992372403",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.