Active NPI
Sudhir Diwan, M.D
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1861402786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 209697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Spine & Sport Rehabilitation Medicine P.C. | Current | Accepting new patients | |
| Park East Pain Management Suite, PLLC | Past | 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.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1639676216
-
- Specialist
- Bronx, NY
- NPI 1942423579
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1407150980
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.