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

Q: 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.

Q: What is Srinivasulu Conjeevaram's specialty?

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

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: October 25, 2026.

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

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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

Phone(860) 415-3622

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Srinivasulu Conjeevaram reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colchester Urgent Care Center LLC

Same address

Family Medicine

100 LINWOOD AVE FL 1
Colchester, CT 06415

Reassigned Medicare billing, Connecticut enrollment
2 clinicians in this Medicare group

NPI 1225702566 (630) 207-2556

Medical Care Center Of East Hartford LLC

20 mi

Family Medicine

677 SILVER LN
East Hartford, CT 06118

Reassigned Medicare billing, Connecticut enrollment
6 clinicians in this Medicare group

NPI 1275785214 (860) 569-7399

Stafford Medical Group LLC

30 mi

Family Medicine

146 MAIN ST
Somers, CT 06071

Reassigned Medicare billing, Connecticut enrollment
5 clinicians in this Medicare group

NPI 1518098698 (860) 749-8018

Vohra Post Acute Care Physicians Of The East, PA

1,169 mi

Family Medicine

3601 SW 160TH AVE STE 250
Miramar, FL 33027

Reassigned Medicare billing, Connecticut enrollment
5 clinicians in this Medicare group

NPI 1063848968 (877) 866-7123

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 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

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

88 services33 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

83 services53 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

77 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

75 services31 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

68 services16 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

66 services21 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

39 services36 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

32 services32 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

24 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services21 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

23 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services13 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

13 services13 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

13 services13 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

11 services11 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.

Which organizations bill Medicare for Srinivasulu Conjeevaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srinivasulu Conjeevaram reassigns Medicare benefits to 4 organizations: Colchester Urgent Care Center LLC (Colchester, CT), Medical Care Center Of East Hartford LLC (East Hartford, CT), Stafford Medical Group LLC (Somers, CT) and Vohra Post Acute Care Physicians Of The East, PA (Miramar, FL). 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 Srinivasulu Conjeevaram'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 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.