Dr. Satish Reddy Tiyyagura Investigator

Cardiovascular Disease St Joseph's Hospital And Medical Center NPI1457501363

Summary

About

Dr. Satish Reddy Tiyyagura specialises in Cardiovascular Disease. He currently works at St Joseph's Hospital And Medical Center in New Jersey and has affiliate with 2 other institutions.

Other specialities of Dr. Satish includes Nuclear Medicine.

Provider Details

NPI Number 1457501363
Provider Name Satish Reddy Tiyyagura
Credential
Specialization Cardiovascular Disease
Medical School Name Jefferson Medical College Of Thomas Jefferson University
Graduation Year 1999
Gender M
Entity Type Individual
PAC ID by PECOS 9537223847
Professional Enrollment ID I20090202000340
Enumeration Date 09/27/2008
Last Update Date 01/13/2016

Contact Details

Business Practice address 22-18 BROADWAY, Fair Lawn,
07410-3016 New Jersey View on Google Map
Business Practice phone 201-475-5050
Business Practice fax
Mailing address 1 IRVING PL, New York,
10003-9701 New York View on Google Map
Other phone 917-405-1512
Other fax
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Satish Reddy Tiyyagura Update NPI

Payments

Total Payment Worth

$51,519.96
from 445 payments in the last 6 years

Total Cash or Cash Equivalent

$25,922.40
from 57 payments in the last 6 years

Total In-kind Items & Services

$25,597.56
from 388 payments in the last 6 years

Hospital Affilitation

St Joseph's Hospital And Medical Center in Fair Lawn

Fair Lawn, New Jersey

Englewood Hospital And Medical Center

Chilton Medical Center

Education & Training

Jefferson Medical College Of Thomas Jefferson University

Cardiovascular Disease, 1999

Group Affiliation

Organization Name PECOS PAC ID Members
St Josephs Physicians Healthcare Group Inc 2567645401 19
St Josephs Medical Group Pc 8628470325 145
Medical Associates Of Englewood Pc 1355512252 469
Heart And Vascular Associates Of Northern Jersey, P.A. 4183610520 11
St Josephs Healthcare Inc 9739171984 193
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Taxonomy
License No.
231396 (New York)
Provider Taxonomy 2
Taxonomy
License No.
25MA08393600 (New Jersey)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1457501363
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Tiyyagura
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Satish
The first name of the provider, if the provider is an individual.
Provider Credential Text M.D.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 1 IRVING PL
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name New York
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name New York
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 10003-9701
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 917-405-1512
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider First Line Business Practice Location Address 22-18 BROADWAY
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Fair Lawn
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name New Jersey
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 07410-3016
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 201-475-5050
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date 09/27/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 01/13/2016
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 207RC0000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Healthcare Provider Taxonomy #1
Provider License Number 1 231396
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 NY
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #2 207RC0001X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 2 A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Healthcare Provider Taxonomy #2
Provider License Number 2 25MA08393600
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2 NJ
Provider License Number State Code #2
Healthcare Provider Primary Taxonomy Switch 2 N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.