DR. SRINIVASA EDARA MD
NPI 1629068218
Internal Medicine - Critical Care Medicine in New York, NY
About Dr. Srinivasa Edara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SRINIVASA EDARA MD (NPI 1629068218) is an individual critical care medicine provider in New York, New York, licensed in New York (214817) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Middletown, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Srinivasa Edara 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.
Medicare Billing Reassignments
3Medicare enrollment records show Srinivasa Edara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 73 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 833 clinicians in this Medicare group
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 226 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10023 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10023
NEW YORK, NY 10023
NEW YORK, NY 10023
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 Srinivasa Edara's NPI number?
The NPI number for Srinivasa Edara is 1629068218. It was assigned to this individual provider in the NPPES registry on October 25, 2005.
Where is Srinivasa Edara located?
Srinivasa Edara practices at 111 Amsterdam Ave, New York, NY 10023. The listed phone number is (212) 523-2211.
What is Srinivasa Edara's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Srinivasa Edara enrolled in Medicare?
Yes. Srinivasa Edara 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 Srinivasa Edara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Srinivasa Edara reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Valley Physician Services PC (Paramus, NJ) and Garnet Health Doctors PC (Middletown, NY). 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 Srinivasa Edara'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 Srinivasa Edara was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Srinivasa Edara, MD · NPI 1629068218
Critical Care Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 25, 2005.
## Identity
- **NPI:** 1629068218 (Entity type: Individual)
- **Enumerated:** October 25, 2005
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 214817 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 AMSTERDAM AVE, New York, NY 10023-7410
- **Phone:** (212) 523-2211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Icahn School Of Medicine At Mount Sinai (NPI 1750626560, New York, NY); Valley Physician Services PC (NPI 1467815928, Paramus, NJ); Garnet Health Doctors PC (NPI 1093138851, Middletown, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** April 11, 2023
- **Other identifiers:** Medicaid 02207954 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1629068218) · Data from the CMS NPPES public registry.