Individual provider Active NPI

Sridevi Allu, M.D.

  • Internal Medicine Physician
  • Newtown Square, PA
National Provider Identifier
1982762183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08131800 Issued in NJ
Practice address
15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200
Phone
(484) 420-2554
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Internal Medicine Physician 207R00000X 25MA08131800 NJ Primary

Addresses

Primary practice location

15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200

Mailing address

15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200
Phone (484) 420-2554

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
I20080125000100 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4385726686 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatrics Associates of New Jersey LLC CurrentSince May 6, 2018 Accepting new patients
Grove Inpatient Services Internal Medicine Past Accepting new patients

Locations

1 David Brainerd Dr
Monroe Twp, NJ 08831
Phone (732) 266-3733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982762183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733200",
            "telephone_number": "484-420-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733200",
            "telephone_number": "484-420-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLU",
        "first_name": "SRIDEVI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08131800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.