Individual provider Active NPI

Hariharan Athreya, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1851898522
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88846 Issued in GA
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624000249 GA Practitioner - Family Practice 6901144807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88846GAMDFamily Medicine Physician
1992372403CTMDMedical Specialty Clinic/Center
1043889967NYMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Mar 20, 2024 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.