Individual provider Active NPI

Sridevi Praveen, CRNP

  • Acute Care Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1023462702
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R172477 Issued in MD
Practice address
6439 Sedgwick St
Elkridge, MD 21075-6198
Phone
(301) 275-1743
NPI assigned
Apr 19, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R172477 MD Primary

Addresses

Primary practice location

6439 Sedgwick St
Elkridge, MD 21075-6198

Mailing address

920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Phone (443) 462-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160722000027 MD Practitioner - Nurse Practitioner 3476846841 Reassigns benefits to 5 organizations
I20231012002391 DC Practitioner - Nurse Practitioner 3476846841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imran H Chowdhury MD PAGroup PAC ID 3274554126, 18 clinicians
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Adfinitas Health at Umcap LLCGroup PAC ID 0840677738, 53 clinicians

Practice addresses (Care Compare)

10816 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 997-7677

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

6510 Kenilworth Ave
Suite 2500
Riverdale, MD 20737-1346
Phone (410) 997-7677

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443

8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (330) 493-4443

901 Harry S Truman Dr
Largo, MD 20774-5477
Phone (240) 677-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
75.84
Improvement activities
40
Cost
70.88

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake, LLC CurrentSince Jan 1, 2025 Accepting new patients
Adfinitas Health at Umcap, LLC CurrentSince Aug 28, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC CurrentSince Jan 1, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 20, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 20, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2023 Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: spraveen152916@direct.umm.edu
  • Direct secure messaging: spraveen164586@direct.aahs.org

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1023462702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ELKRIDGE LANDING RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902917",
            "telephone_number": "443-462-5010",
            "fax_number": "410-684-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 SEDGWICK ST",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756198",
            "telephone_number": "301-275-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVEEN",
        "first_name": "SRIDEVI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R172477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.