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DR. PREM SRIVASTAVA MD
NPI 1417081795
Internal Medicine in Roosevelt Island, NY

Active since March 16, 2007PECOS Enrolled
1 MAIN ST, ROOSEVELT ISLAND, NY 10044(212) 318-4515 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Prem Srivastava Md NPPES

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

DR. PREM SRIVASTAVA MD (NPI 1417081795) is an individual internal medicine provider in Roosevelt Island, New York, licensed in New York (19269801) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417081795
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PREM SRIVASTAVACredential: MD
Location Address1 MAIN STRoosevelt Island, NY 10044-0052
Mailing Address1703 N Jerusalem RdEast Meadow, NY 11554-4741 · (516) 565-9612
Phone(212) 318-4515
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 12, 2010
✔ NPI 1417081795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 19269801
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 MAIN ST, Roosevelt Island, NY 10044
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Other Identifiers 1

Medicare UPINF99104NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prem Srivastava Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Prem Srivastava reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
1.1 mi
Skilled Nursing Facility
900 MAIN ST, ROOM A22-4
New York, NY 10044
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1679581607 (212) 848-6263

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
37 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. KAREN B ERANI D.M.D.
Student in an Organized Health Care Education/Training Program
1 MAIN ST
ROOSEVELT ISLAND, NY 10044
New York County (212) 848-6000
DR. SEAH MYERS AU.D.
Audiologist
1 MAIN ST
NEW YORK, NY 10044
New York County (212) 862-8795
DR. YELENA SULER MD
Physical Medicine & Rehabilitation
1 MAIN ST
ROOSEVELT ISLAND, NY 10044
New York County (212) 318-4242
MR. ONGARJ SIRIAMONTHEP RPH
Pharmacist
1 MAIN ST, ROOSEVELT ISLAND
NEW YORK, NY 10044
New York County (212) 318-4057
DR. NAVIN K SHARMA M.D.
Internal Medicine (Nephrology)
1 MAIN ST, DEPARTMENT OF MEDICINE, GOLDWATER HOSPITAL
ROOSEVELT ISLAND, NY 10044
New York County (212) 318-4515
DR. ZULLY VALLEJO PHARM.D.
Pharmacist
1 MAIN ST
NEW YORK, NY 10044
New York County (212) 318-8000
DR. SHAHANARA HOSSAIN MD
Internal Medicine
1 MAIN ST
ROOSEVELT ISLAND, NY 10044
New York County (212) 318-4242
DR. KIRTIKUMAR PATEL MD
General Practice
1 MAIN ST
ROOSEVELT ISLAND, NY 10044
New York County (212) 318-4242

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 Prem Srivastava's NPI number?

The NPI number for Prem Srivastava is 1417081795. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Prem Srivastava located?

Prem Srivastava practices at 1 Main St, Roosevelt Island, NY 10044. The listed phone number is (212) 318-4515.

What is Prem Srivastava's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prem Srivastava enrolled in Medicare?

Yes. Prem Srivastava is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prem Srivastava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prem Srivastava reassigns Medicare benefits to New York City Health And Hospitals Corporation (New York, NY). The 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 Prem Srivastava'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 Prem Srivastava was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.