Active NPI
Srinivas Mandava, M.D.
- Anesthesiology Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0047080
- Practice address
- 15404 Tindlay St
Silver Spring, MD 20905-4148 - Phone
- (301) 384-7290
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | D0047080 | MD | Primary |
Addresses
Primary practice location
15404 Tindlay St
Silver Spring, MD 20905-4148
Mailing address
15404 Tindlay St
Silver Spring, MD 20905-4148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Kindred Way
Apt 201
Glen Burnie, MD 21061-5249
Phone (410) 590-8920
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.34 of 100
- Quality
- 25
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 87.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Company, LLC | Anesthesiology | Current | Accepting new patients |
| Mukul Khandelwal, PA | Current | Accepting new patients | |
| Cruz-Lee-Llacer & Associates P a | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
8186 Lark Brown Rd
Ste 104
Elkridge, MD 21075
Phone (410) 590-8920
85 Kindred Way
Apt 201
Glen Burnie, MD 21061
Phone (410) 355-2244
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Glen Burnie, MD
- NPI 1316969256
-
- Specialist
- Bel Air, MD
- NPI 1215254560
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1033247390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1992904585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15404 TINDLAY ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209054148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15404 TINDLAY ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209054148",
"telephone_number": "301-384-7290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDAVA",
"first_name": "SRINIVAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0047080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.