DR. SRINIVASULU CONJEEVARAM (MD) – Family Medicine Physician, NPI 1780958058
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
Provider Addresses for DR. SRINIVASULU CONJEEVARAM (MD)
421 Cottage Grove Rd Ste B
Bloomfield, CT 060023170
Phone: (860) 242-0034
Fax: (860) 242-3301
Type: Location
146 Main Street
Somers, CT 060711825
Phone: (860) 415-3622
Fax: (860) 540-1226
Type: Location
11 WINTHROP RD
APT 2A
WEST HARTFORD, CT 061101656
Phone: (860) 415-3622
Fax: (860) 540-1226
Type: Location
100 LINWOOD AVE STE 2A
COLCHESTER, CT 064151138
Phone: (860) 415-3622
Fax: (860) 974-0884
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: bioMerieux Inc ($96).
Total Amount
$215
General + Research + Ownership
Payments
9
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150709000399 | I | Family Practice | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 713 | 232 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 572 | 156 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 408 | 102 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 392 | 176 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 228 | 164 | $0 |
Insurance plans in this area (ZIP 06002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CT | 11042 | Removal of skin and tissue first 20 sq cm or less | 418 | 153 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CT | |
| Internal Medicine | CT | |
| - | NC | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Orthopedic Surgery | CT | |
| Internal Medicine | CT |
Reviews
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