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SHRUTI CHAKRAVARTHY MD
NPI 1396270146
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since April 28, 2017PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
475 SEAVIEW AVE, DEPARTMENT OF OB/GYN, STATEN ISLAND, NY 10305(718) 226-8074 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2017, Apr 28, 2017 (2 updates tracked since 2017).

About Shruti Chakravarthy Md NPPES

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

SHRUTI CHAKRAVARTHY MD (NPI 1396270146) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396270146
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHRUTI CHAKRAVARTHYCredential: MD
Location Address475 SEAVIEW AVE, DEPARTMENT OF OB/GYNStaten Island, NY 10305
Mailing Address475 Seaview Ave, Department Of Ob/gynStaten Island, NY 10305 · (718) 226-8074
Phone(718) 226-8074
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 28, 2017
Last NPPES UpdateDecember 18, 20172 updates tracked since enumeration
✔ NPI 1396270146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
475 SEAVIEW AVE, Staten Island, NY 10305
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shruti Chakravarthy Md 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 ID1355686866
PECOS Enrollment IDI20250625002217
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shruti Chakravarthy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mmc Ob-Gyn Faculty Practice Plan
5.1 mi
Specialist
6208 4TH AVE
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group
NPI 1306843388 (718) 283-3000
Maimonides Faculty Practice Plan
5.9 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
The Board Of Trustees Of The University Of Illinois
710 mi
Federally Qualified Health Center (FQHC)
2641 S CALUMET AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1295751220 (312) 996-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

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 Shruti Chakravarthy's NPI number?

The NPI number for Shruti Chakravarthy is 1396270146. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Shruti Chakravarthy located?

Shruti Chakravarthy practices at 475 Seaview Ave Department Of Ob/Gyn, Staten Island, NY 10305. The listed phone number is (718) 226-8074.

What is Shruti Chakravarthy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shruti Chakravarthy enrolled in Medicare?

Yes. Shruti Chakravarthy 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.

Which organizations bill Medicare for Shruti Chakravarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shruti Chakravarthy reassigns Medicare benefits to 3 organizations: Mmc Ob-Gyn Faculty Practice Plan (Brooklyn, NY), Maimonides Faculty Practice Plan (Brooklyn, NY) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shruti Chakravarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shruti Chakravarthy was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.