AMIT SRIVASTAVA
NPI 1104203769
Pediatrics - Pediatric Emergency Medicine in Phoenix, AZ

Active since May 04, 2015PECOS EnrolledAccepts Medicare Assignment
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1900 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Jul 31, 2024, Aug 10, 2021 and 2 more (5 updates tracked since 2020).

About Amit Srivastava NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMIT SRIVASTAVA (NPI 1104203769) is an individual pediatric emergency medicine provider in Phoenix, Arizona, licensed in Arizona (72527) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (2015).

NPPES Registry Identity

NPI1104203769
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameAMIT SRIVASTAVA
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2015
Enumeration DateMay 4, 2015
Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1104203769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses Licensed in AZ · 72527 Licensed in TX · R8114
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 72527 (AZ), R8114 (TX)
1919 E THOMAS RD, Phoenix, AZ 85016

Secondary Practice Locations 2

Location 17601 Preston RdPlano, TX 75024-3214 · Phone (469) 303-7000
Location 22601 E Roosevelt StPhoenix, AZ 85008-4973 · Phone (602) 345-5885

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amit Srivastava is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395156517
PECOS Enrollment IDI20240910003975
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amit Srivastava's NPI number?

The NPI number for Amit Srivastava is 1104203769. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Amit Srivastava located?

Amit Srivastava practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-1900.

What is Amit Srivastava's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Amit Srivastava enrolled in Medicare?

Yes. Amit Srivastava is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amit Srivastava accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Medica list Amit Srivastava as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amit Srivastava was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.