NPIMap

Individual provider Active NPI

Preethi Chakravarthy Sridhar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Mountain View, CA
National Provider Identifier
1033362041
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A119737 Issued in CA
Practice address
2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855
Phone
(650) 967-8841
Fax
(650) 967-8812
NPI assigned
Nov 4, 2008
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A119737 CA Primary

Addresses

Primary practice location

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855

Mailing address

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855
Phone (650) 967-8841

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130628000063 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 2062652894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3877
Phone (650) 967-8841

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Bass Medical Group Single Specialty Current Accepting new patients
Bass Medical Group CurrentSince Mar 1, 2020 Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

2204 Grant Rd
Ste 103
Mountain View, CA 94040
Phone (650) 967-8841

Interoperability endpoints

  • Direct secure messaging: psridhar134446@ehr.johnmuirhealth.com
  • Direct secure messaging: psridhar7805@icare.elcaminohospital.org

Organizations & group practices 6

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 10

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1033362041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-967-8841",
            "fax_number": "650-967-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-967-8841",
            "fax_number": "650-967-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIDHAR",
        "first_name": "PREETHI",
        "middle_name": "CHAKRAVARTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A119737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.