Individual provider Active NPI

Srinivas Mandava, M.D.

  • Anesthesiology Physician
  • Silver Spring, MD
National Provider Identifier
1992904585
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0047080 Issued in MD
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

Updated by the provider on Jul 13, 2007

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150617000145 MD Practitioner - Anesthesiology 3173500568 Reassigns benefits to 3 organizations
I20210223001283 DC Practitioner - Anesthesiology 3173500568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mukul Khandelwal, PAGroup PAC ID 7416936620, 14 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Anesthesia Company, LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Mukul Khandelwal, PA CurrentSince Apr 1, 2017 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.

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

Verify at the official NPI Registry.