Mahesh Kumar Sreedasyam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11015332A Issued in IN

Practice address

995 S Clarizz Blvd
Bloomington, IN 47401

Phone

(812) 353-3060

Fax

(812) 353-3070

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Indiana University Health Southern Indiana Physicians LLCGroup PAC ID 6204748197, 474 clinicians

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
• Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
• Indiana University Health Hospital, Indianapolis, IN, CCN 150056
• Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
• Putnam County Hospital Hospital, Greencastle, IN, CCN 151333
• Bell Trace Health and Living Center Nursing home, Bloomington, IN, CCN 155677

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msreedasyam@direct.iuhealth.org

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.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment Care Compare group NPD
• Indiana University Health Southern Indiana Physicians, LLC

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
  • NPI 1013953983
  Medicare reassignment Care Compare group
• Putnam County Hospital

  • Critical Access Hospital
  • Greencastle, IN
  • NPI 1578608188
  Medicare reassignment NPD
• Putnam County Hospital

  • Rural Health Clinic/Center
  • Greencastle, IN
  • NPI 1295972412
  NPD
• Putnam County Hospital

  • Rural Health Clinic/Center
  • Greencastle, IN
  • NPI 1699833129
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Amedisys Indiana, LLC

  • Home Health Agency
  • Terre Haute, IN
  • NPI 1003937269
  Care Compare affiliation
• Indiana University Health Bedford, Inc

  • Critical Access Hospital
  • Bedford, IN
  • NPI 1548260284
  Care Compare affiliation
• Indiana University Health Bedford, Inc.

  • Ambulance
  • Bedford, IN
  • NPI 1346218799

  Hospital

  Care Compare affiliation
• Indiana University Health Bloomington Inc

  • General Acute Care Hospital
  • Bloomington, IN
  • NPI 1205860335
  Care Compare affiliation
• Indiana University Health Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1144266024
  Care Compare affiliation
• Putnam County Hospital

  • Critical Access Hospital
  • Greencastle, IN
  • NPI 1912947490
  Care Compare affiliation
• Riverview Hospital

  • Skilled Nursing Facility
  • Bloomington, IN
  • NPI 1457332033

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1003137126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 S CLARIZZ BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015588",
            "telephone_number": "812-353-3060",
            "fax_number": "812-353-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S CLARIZZ BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-353-3060",
            "fax_number": "812-353-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "46135",
            "country_code": "US",
            "telephone_number": "765-658-2700",
            "fax_number": "765-658-2703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 N 6th 1/2 St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478071039",
            "country_code": "US",
            "telephone_number": "812-238-7631",
            "fax_number": "812-238-7003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 N 6th 1/2 St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478071039",
            "country_code": "US",
            "telephone_number": "812-238-7631",
            "fax_number": "812-238-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SREEDASYAM",
        "first_name": "MAHESH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11015332A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MSREEDASYAM@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "995 S Clarizz Blvd",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Spires, D.D.S., M.S.D
• Terry Sprinkle, COTA
• Abigail Sprowl-Lang
• Jackie Donceel Squires, CNM
• Margaret F. Squires, PHD
• Swathy Sreekumar, MD
• Kartik Srinivasan
• Anthony Jacob St John
• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.

• Family Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.