DR. SRINIVASULU CONJEEVARAM MD
NPI 1780958058
Family Medicine in Colchester, CT

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
100 LINWOOD AVE STE 2A, COLCHESTER, CT 06415(860) 415-3622(860) 974-0884 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Dec 2, 2020, Jul 16, 2020 and 5 more (8 updates tracked since 2017).

About Dr. Srinivasulu Conjeevaram Md NPPES

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

DR. SRINIVASULU CONJEEVARAM MD (NPI 1780958058) is an individual family medicine provider in Colchester, Connecticut, licensed in Connecticut (53644) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1780958058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SRINIVASULU CONJEEVARAMCredential: MD
Location Address100 LINWOOD AVE STE 2AColchester, CT 06415-1138
Mailing Address11 Winthrop Rd, Apt 2aWest Hartford, CT 06110-1656 · (860) 415-3622 · Fax (860) 540-1226
Fax(860) 974-0884
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 2, 2012
Last NPPES UpdateMarch 24, 20238 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1780958058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 53644
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 53644 (CT)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301086842 (MI), 53644 (CT)
100 LINWOOD AVE STE 2A, Colchester, CT 06415

Secondary Practice Locations 2

Location 1421 Cottage Grove Rd Ste BBloomfield, CT 06002-3170 · Phone (860) 242-0034 · Fax (860) 242-3301
Location 2146 Main StreetSomers, CT 06071-1825 · Phone (860) 415-3622 · Fax (860) 540-1226

Other Identifiers 1

Other053644CT · State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Srinivasulu Conjeevaram 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.

PECOS PAC ID6103054655
PECOS Enrollment IDI20150709000399
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.

Areas of Expertise CMS Part B claims 22

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 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.
259 services75 patients
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.
189 services66 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
174 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services79 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
117 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
95 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06415 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier48 claims1,567 services$7.12 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier203 claims6,869 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier31 claims1,155 services$2.07 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims745 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Srinivasulu Conjeevaram's NPI number?

The NPI number for Srinivasulu Conjeevaram is 1780958058. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Srinivasulu Conjeevaram located?

Srinivasulu Conjeevaram practices at 100 Linwood Ave Ste 2A, Colchester, CT 06415. The listed phone number is (860) 415-3622.

What is Srinivasulu Conjeevaram's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Srinivasulu Conjeevaram enrolled in Medicare?

Yes. Srinivasulu Conjeevaram 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.

When was this NPI record last updated?

The NPPES record for Srinivasulu Conjeevaram was last updated on March 24, 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.