Dr Srinivasulu Conjeevaram, MD - Medicare Family Practice in Colchester, CT

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Dr Srinivasulu Conjeevaram, MD is a medicare enrolled "Family Medicine" physician in Colchester, Connecticut. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Colchester Urgent Care Center Llc and his current practice location is 100 Linwood Ave Ste 2a, Colchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 415-3622.

Dr Srinivasulu Conjeevaram is licensed to practice in Connecticut (license number 53644) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780958058.

Contact Information

Dr Srinivasulu Conjeevaram, MD
100 Linwood Ave Ste 2a,
Colchester, CT 06415-1138
(860) 415-3622
(860) 974-0884

Map and Direction




Physician's Profile

Full NameDr Srinivasulu Conjeevaram
GenderMale
SpecialityFamily Practice
Experience28 Years
Location100 Linwood Ave Ste 2a, Colchester, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Srinivasulu Conjeevaram graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1780958058
  • Provider Enumeration Date: 03/02/2012
  • Last Update Date: 03/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103054655
  • Enrollment ID: I20150709000399

Medical Identifiers

Medical identifiers for Dr Srinivasulu Conjeevaram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780958058NPI-NPPES
053644OtherCTSTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 53644 (Connecticut)Secondary
208D00000XGeneral Practice 4301086842 (Michigan)Secondary
208D00000XGeneral Practice 53644 (Connecticut)Secondary
207Q00000XFamily Medicine 53644 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Colchester Urgent Care Center Llc42840208502

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Srinivasulu Conjeevaram allows following entities to bill medicare on his behalf.
Entity NameStafford Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518098698
PECOS PAC ID: 0941100291
Enrollment ID: O20040112000217
Entity NameMedical Care Center Of East Hartford Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275785214
PECOS PAC ID: 5698836344
Enrollment ID: O20081212000569
Entity NameVohra Post Acute Care Physicians Of The East Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063848968
PECOS PAC ID: 5496981243
Enrollment ID: O20131210000307
Entity NameAakaish Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558746289
PECOS PAC ID: 8628320058
Enrollment ID: O20181011001975
Entity NameUrgent Care Center Of Bloomfield Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588264659
PECOS PAC ID: 4981019973
Enrollment ID: O20210225002095
Entity NameColchester Urgent Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225702566
PECOS PAC ID: 4284020850
Enrollment ID: O20220407000498

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Srinivasulu Conjeevaram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Srinivasulu Conjeevaram, MD
11 Winthrop Rd, Apt 2a,
West Hartford, CT 06110-1656

Ph: (860) 415-3622		Dr Srinivasulu Conjeevaram, MD
100 Linwood Ave Ste 2a,
Colchester, CT 06415-1138

Ph: (860) 415-3622

Reviews and Comments


Family Medicine Doctors in Colchester, CT

Dr. J. Carey Laporte, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 119 Broadway St, Colchester, CT 06415
Phone: 860-537-9901    Fax: 860-537-9945
Olawale Ayeni, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 123 Broadway St, Colchester, CT 06415
Phone: 860-537-3204    Fax: 860-537-3208
Dr. Kassem M Khybery, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 514 Westchester Rd, Colchester, CT 06415
Phone: 860-267-2625    Fax: 860-267-0491

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.