DR. SIREESHA KANTHI JATHAVEDAM M.D.
NPI 1508023920
Psychiatry & Neurology - Psychiatry in New York, NY
About Dr. Sireesha Kanthi Jathavedam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SIREESHA KANTHI JATHAVEDAM M.D. (NPI 1508023920) is an individual psychiatry provider in New York, New York, licensed in New York (243570) and active in the NPI registry since May 2008. She has opted out of Medicare through January 22, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Sireesha Kanthi Jathavedam M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2018 through January 22, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10065
NEW YORK, NY 10065
NEW YORK, NY 10065
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 Sireesha Jathavedam's NPI number?
The NPI number for Sireesha Jathavedam is 1508023920. It was assigned to this individual provider in the NPPES registry on May 22, 2008.
Where is Sireesha Jathavedam located?
Sireesha Jathavedam practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-3362.
What is Sireesha Jathavedam's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Sireesha Jathavedam enrolled in Medicare?
No. Sireesha Jathavedam has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Sireesha Jathavedam was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Sireesha Kanthi Jathavedam, M.D. · NPI 1508023920
Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 22, 2008.
## Identity
- **NPI:** 1508023920 (Entity type: Individual)
- **Enumerated:** May 22, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 243570 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 E 68TH ST, New York, NY 10065-4870
- **Phone:** (212) 746-3362
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 27, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1508023920) · Data from the CMS NPPES public registry.