SRUTHI SREEKUMAR PODUVAL MD
NPI 1467080051
Psychiatry & Neurology - Child & Adolescent Psychiatry in Forest Hills, NY

Q: What is Sruthi Poduval's NPI number?

The NPI number for Sruthi Poduval is 1467080051. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Q: What is Sruthi Poduval's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Sruthi Poduval was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 30, 2020PECOS Enrolled

11835 QUEENS BLVD, FOREST HILLS, NY 11375(929) 809-0492 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2025, Jul 10, 2023, Mar 30, 2020 (3 updates tracked since 2020).

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About Sruthi Sreekumar Poduval Md NPPES

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

SRUTHI SREEKUMAR PODUVAL MD (NPI 1467080051) is an individual child & adolescent psychiatry provider in Forest Hills, New York, licensed in New York (336533) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2020).

NPPES Registry Identity

NPI1467080051

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameSRUTHI SREEKUMAR PODUVALCredential: MD

Location Address11835 QUEENS BLVDForest Hills, NY 11375-7200

Mailing Address11835 Queens BlvdForest Hills, NY 11375-7200

Phone(929) 809-0492

Sole ProprietorYes

Medical School CMSEastern Virginia Medical SchoolGraduated 2020

Enumeration DateMarch 30, 2020

Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1467080051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 336533

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

11835 QUEENS BLVD, Forest Hills, NY 11375

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sruthi Sreekumar Poduval Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446618029

PECOS Enrollment IDI20250707000207

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.

AMANDA KAJU

Social Worker

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (718) 651-7770

ABIGAIL STEIN

Community Health Worker

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (718) 651-7770

DR. KRISTINA WONG THIES PSY.D.

Psychologist

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (917) 426-1170

ALEIA JURE

Counselor (Mental Health)

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (347) 725-1184

NATELA KHAIMOVA

Case Manager/Care Coordinator

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (718) 570-1920

DR. BARBARA GOLDSTEIN PH.D.

Audiologist

11835 QUEENS BLVD, SUITE 1430
FOREST HILLS, NY 11375

Queens County (718) 773-8888

MRS. TINA O BOLAJI

Community Health Worker

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (718) 657-7770

JEWELYN SONDERMAN DNP

Nurse Practitioner (Family)

11835 QUEENS BLVD
FOREST HILLS, NY 11375

Queens County (925) 436-0679

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 Sruthi Poduval's NPI number?

The NPI number for Sruthi Poduval is 1467080051. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Sruthi Poduval located?

Sruthi Poduval practices at 11835 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (929) 809-0492.

What is Sruthi Poduval's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sruthi Poduval enrolled in Medicare?

Yes. Sruthi Poduval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sruthi Poduval was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.