DR. SRIDHAR DURBHAKULA (NPI# 1053400366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053400366 |
| Entity Type | Individual |
| Full Name | DR. SRIDHAR DURBHAKULA |
| Credential | M.D. |
| Practice Address |
10215 Fernwood Rd Suite 506 Bethesda MD 20817-1106 |
| Practice Telephone | 3015301010 |
| Practice Fax Number | 3018978597 |
| Mailing Telephone | 3015301010 |
| Mailing Fax Number | 3018978597 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | D0061416 | MD | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
D0061416 | MD | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
D0061416 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF NATL CAP AR | 37520016 | 01 | |
| ALLIANCE/MAMSI | 3124783 | 01 | |
| CIGNA | 4170527 | 01 | |
| NCPPO | 686082 | 01 | |
| MDIPA/OPCHOICE | 3124783 | 01 | |
| CAREFIRST BLUE CROSS | 64138603 | 01 | |
| MD | PTAN NUMBER | 894071 | 01 |
| Street Address |
10215 FERNWOOD RD SUITE 506 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134560 | Christopher Cannova | Specialist | 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 | 2005-06-14 |
| 1154854545 | Susannah Lin Edwards | Dietitian, Registered | 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 | 2017-04-04 |
| 1194273052 | Margarita E Matamoros | Social Worker | 10215 Fernwood Rd, Ste 630, Bethesda, MD 20817-1106 | 2016-09-20 |
| 1528419397 | Judith W Libert | Social Worker | 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 | 2016-06-23 |
| 1295190759 | Bethesda Foot & Ankle Center | Podiatrist | 10215 Fernwood Rd, Suite 635, Bethesda, MD 20817-1106 | 2015-12-28 |
| 1205201035 | Calli Jean Van Dam | Nurse Practitioner | 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 | 2015-12-04 |
| 1992105050 | Rahat Sood | Dentist | 10215 Fernwood Rd, Suite 415, Bethesda, MD 20817-1106 | 2014-08-26 |
| 1841632650 | Michael Jay Tanenhaus | Dentist | 10215 Fernwood Rd, Suite 414, Bethesda, MD 20817-1106 | 2013-07-22 |
| 1396188579 | Center for Continence and Pelvic Support PC | Specialist | 10215 Fernwood Rd, Ste 300, Bethesda, MD 20817-1106 | 2013-04-08 |
| 1326383019 | Jessica L Murgueytio | Dietitian, Registered | 10215 Fernwood Rd, Ste 50, Bethesda, MD 20817-1106 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619926987 | Daniel Joseph Valaik | Orthopaedic Surgery | 8901 Wisconsin Ave, Nnmc Department of Orthopedic Surgery, Bethesda, MD 20889-0001 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346361524 | Avigdor Izsak Niv | Orthopaedic Surgery | 2119 Sugarcone Rd, Baltimore, MD 21209-1027 | 2007-04-03 |
| 1710949409 | Shawn Kay Grandia | Orthopaedic Surgery | 187 Thomas Johnson Dr Ste 1, Frederick, MD 21702-4445 | 2006-04-06 |
| 1891783114 | Peter R Jay | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-3742 | 2005-10-11 |
| 1013915487 | Antoni Bernard Goral | Orthopaedic Surgery | 8401 Connecticut Ave, Suite 800, Chevy Chase, MD 20815-5803 | 2005-07-11 |
| 1790338341 | Marissa Elizabeth Bonyun | Orthopaedic Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2019-07-23 |
| 1407297724 | John Vincent Thompson | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215 | 2013-07-15 |
| 1235570839 | Pablo Wagner | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2013-07-11 |
| 1902153190 | Gautam Siram, Md, PC | Orthopaedic Surgery | 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815-4322 | 2012-08-07 |
| 1831471234 | St. Paul Place Specialists, Inc. | Orthopaedic Surgery | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2011-09-13 |
| 1376836015 | Kevin Mccoy | Orthopaedic Surgery | 510 Idlewild Ave Ste 200, Easton, MD 21601-3883 | 2011-05-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SRIDHAR DURBHAKULA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.