Individual provider Active NPI

Sridevi Ratakonda, M.D.

  • Diagnostic Radiology Physician
  • Morristown, NJ
National Provider Identifier
1912907411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06959300 Issued in NJ
Practice address
290 Madison Ave
Morristown, NJ 07960-7400
Phone
(973) 538-8317
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06959300 NJ Primary

Addresses

Primary practice location

290 Madison Ave
Morristown, NJ 07960-7400

Mailing address

290 Madison Ave
Morristown, NJ 07960-7400
Phone (973) 538-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050822001086 NJ Practitioner - Diagnostic Radiology 1456343516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ratakonda,M.D., P.a.Group PAC ID 1254323314, 2 clinicians

Practice addresses (Care Compare)

290 Madison Ave
Suite 4
Morristown, NJ 07960-7401
Phone (973) 538-8181

Merit-based Incentive Payment System (MIPS)

Final score
74.93 of 100Reported as group
Quality
49.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06959300NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ratakonda,M.D., P.a. Diagnostic Radiology CurrentSince Jun 1, 2002 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology PastSince May 25, 2021 Accepting new patients

Locations

290 Madison Ave
Ste 4
Morristown, NJ 07960
Phone (973) 538-8181

290 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5338

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912907411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607400",
            "telephone_number": "973-538-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607400",
            "telephone_number": "973-538-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATAKONDA",
        "first_name": "SRIDEVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06959300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.