Individual provider Active NPI

Srinivas Dannaram, M.D

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1003120437
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6388 Issued in NE
Practice address
Creighton Nebraska
Department of Psychiatry 985582
Omaha, NE 68198-5582
Phone
(402) 552-6244
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6388 NE Primary

Addresses

Primary practice location

Creighton Nebraska
Department of Psychiatry 985582
Omaha, NE 68198-5582

Mailing address

9222 Burt St
Appartment 118
Omaha, NE 68114-2479
Phone (402) 547-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170523002018 AZ Practitioner - Psychiatry 5698908564 Reassigns benefits to 3 organizations
I20240513001498 NV Practitioner - Psychiatry 5698908564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Desert View Counseling and Consulting IncGroup PAC ID 4981644325, 17 clinicians
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

13260 N 94TH Dr
Suite 100
Peoria, AZ 85381-4242
Phone (623) 487-7763

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CTH Physicians Clinic Psychiatry CurrentSince Dec 1, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Apr 15, 2024 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 7, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jun 18, 2024 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 7, 2021 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Apr 15, 2024 Accepting new patients
Desert View Counseling and Consulting, Inc. Child & Adolescent Psychiatry CurrentSince Jan 29, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jun 18, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2017 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Apr 15, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2017 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Banner del E Webb Medical Center Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 403
Mesa, AZ 85202
Phone (480) 412-7473

13260 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 487-7763

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

19820 N 7th St
Ste 140
Phoenix, AZ 85024
Phone (623) 487-7763

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

35 Michigan St NE
Ste 5201
Grand Rapids, MI 49503
Phone (616) 267-2400

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • Direct secure messaging: sdannaram689283@direct.med.utah.edu
  • Direct secure messaging: sdannaram2545491@epic00.corewelldirect.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1003120437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 BURT ST",
            "address_2": "APPARTMENT 118",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142479",
            "telephone_number": "402-547-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREIGHTON NEBRASKA",
            "address_2": "DEPARTMENT OF PSYCHIATRY 985582",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985582",
            "telephone_number": "402-552-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNARAM",
        "first_name": "SRINIVAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "6388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.