Individual provider Active NPI

Sudhir Diwan, M.D

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1861402786
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
209697 Issued in NY
Practice address
115 E 57TH St
Ste 610
New York, NY 10022-2049
Phone
(212) 535-3505
Fax
(212) 535-3568
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 209697 NY Primary

Addresses

Primary practice location

115 E 57TH St
Ste 610
New York, NY 10022-2049

Mailing address

115 E 57TH St
Ste 610
New York, NY 10022-2049
Phone (212) 535-3505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110106000527 NY Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 5395934319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 E 57TH St
Suite 610
New York, NY 10022-2129
Phone (212) 535-3505

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Merit-based Incentive Payment System (MIPS)

Final score
93.44 of 100Reported as individual
Quality
99.87
Improvement activities
40
Cost
78.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Spine & Sport Rehabilitation Medicine P.C. CurrentSince Mar 16, 2015 Accepting new patients
Park East Pain Management Suite, PLLC PastSince Feb 2, 2011 Accepting new patients

Locations

2008 Eastchester Rd
#A
Bronx, NY 10461
Phone (718) 794-0600

Organizations & group practices 3

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1861402786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "STE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-535-3505",
            "fax_number": "212-535-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "STE 610",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-535-3505",
            "fax_number": "212-535-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIWAN",
        "first_name": "SUDHIR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "209697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.