Active NPI
Prasit Sri, M.D.
- Orthopaedic Surgery Physician
- Munster, IN
National Provider Identifier
1033248869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01025002A
- Practice address
- 9034 Columbia Ave
Munster, IN 46321-2905 - Phone
- (219) 836-0296
- Fax
- (219) 836-0570
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01025002A | IN | Primary |
Addresses
Primary practice location
9034 Columbia Ave
Munster, IN 46321-2905
Mailing address
9034 Columbia Ave
Munster, IN 46321-2905
Phone (219) 836-0296
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 733657 | Other | FIRST HEALTH | |
| 35133426702 | Other | FISERV | |
| 4921815001 | Other | CIGNA | |
| 000000083225 | Other | IN | ANTHEM |
| 4043990 | Other | AETNA |
Other names 1
- Dr. Prasit Sri-Uthayopas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01025002A | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1033248869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9034 COLUMBIA AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212905",
"telephone_number": "219-836-0296",
"fax_number": "219-836-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9034 COLUMBIA AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212905",
"telephone_number": "219-836-0296",
"fax_number": "219-836-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRI",
"first_name": "PRASIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01025002A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "733657",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FISERV",
"identifier": "35133426702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4921815001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000083225",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4043990",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRASIT",
"last_name": "SRI-UTHAYOPAS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.