1. Home
  2. Directory
  3. New Jersey
  4. West Windsor
  5. Internal Medicine
  6. NPI Profile

ACADEMIC ICU DOC, PA
NPI 1558730705
Internal Medicine - Critical Care Medicine in West Windsor, NJ

Active since September 17, 2015
5 RUSHTON CT, WEST WINDSOR, NJ 08550(908) 464-3636(908) 464-6711 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Academic Icu Doc, Pa NPPES

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

ACADEMIC ICU DOC, PA (NPI 1558730705) is a healthcare organization registered as a critical care medicine in West Windsor, New Jersey and active in the NPI registry since September 2015. The organization lists Sri Sujanthy Rajaram, President, as its authorized official.

NPPES Registry Identity

NPI1558730705
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameACADEMIC ICU DOC, PA
Location Address5 RUSHTON CTWest Windsor, NJ 08550-3320
Mailing Address5 Rushton CtWest Windsor, NJ 08550-3320 · (908) 464-3636 · Fax (908) 464-6711
Phone(908) 464-3636
Fax(908) 464-6711
Organization SubpartNo
Authorized OfficialSri Sujanthy RajaramPresident · (908) 464-3636
Enumeration DateSeptember 17, 2015
Last NPPES UpdateFebruary 17, 2016
✔ NPI 1558730705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
5 RUSHTON CT, West Windsor, NJ 08550
Open in Google Maps ↗

Other Identifiers 1

Other0450016696NJ · State Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Academic Icu Doc, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Academic Icu Doc, PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sri Rajaram, MD
Internal Medicine
NPI 1033209333
339 PRINCETON HIGHTSTOWN RD BUILDING B
East Windsor, NJ 08512
(609) 443-3900
✔ PECOS✔ Accepts Medicare1.7 mi
Rajaram Kandasamy, MD
Internal Medicine
NPI 1134269954
339 PRINCETON HIGHTSTOWN RD
East Windsor, NJ 08512
(609) 443-5962
✔ PECOS✔ Accepts Medicare1.7 mi

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

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 Academic Icu Doc, PA's NPI number?

The NPI number for Academic Icu Doc, PA is 1558730705. It was assigned to this organization in the NPPES registry on September 17, 2015.

Where is Academic Icu Doc, PA located?

Academic Icu Doc, PA is located at 5 Rushton Ct, West Windsor, NJ 08550. The listed phone number is (908) 464-3636.

What is Academic Icu Doc, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Academic Icu Doc, PA enrolled in Medicare?

Yes. Academic Icu Doc, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Academic Icu Doc, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Academic Icu Doc, PA. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Academic Icu Doc, PA was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.