Individual provider Active NPI

Visish Mani Srinivasan, M.D.

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1053750489
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD476342 Issued in PA
Practice address
3400 Civic Center Blvd
2ND FLR. South Pavilion
Philadelphia, PA 19104-4238
Phone
(215) 662-3487
Fax
(215) 349-5534
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA11385500 NJ
Neurological Surgery Physician 207T00000X MD476342 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
2ND FLR. South Pavilion
Philadelphia, PA 19104-4238

Mailing address

3400 Civic Center Blvd
2ND FLR. South Pavilion
Philadelphia, PA 19104-4238
Phone (215) 662-3487

Other practice location 1

1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3500

Other identifiers 1

IdentifierTypeStateIssuer
005314MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20230109000056 PA Practitioner - Neurosurgery 0446681357 Reassigns benefits to 2 organizations
I20230109000069 NJ Practitioner - Neurosurgery 0446681357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3500

1671 Crooked Oak Dr
Lancaster, PA 17601-4269
Phone (717) 569-5331

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3487

554 N Duke St
LGHP Penn Med Plastic and Cosmetic Surgery
Lancaster, PA 17602-2250
Phone (717) 291-5863

555 N Duke St
Lancaster, PA 17602-2250

555 N Duke St 1St Floor
LGHP Penn Medicine Behavioral Health
Lancaster, PA 17602-2250
Phone (717) 560-3782

Hospital & facility affiliations

  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11385500NJMDNeurological Surgery Physician
MD476342PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Sep 21, 2022 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Sep 21, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 20, 2024 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Mar 20, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 21, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Sep 21, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Neurological Surgery Current Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations (25 of 27)

1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

700 W Lincoln Hwy
Exton, PA 19341
Phone (610) 431-5131

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

491 Allendale Rd
Ste 104
Kng of Prussa, PA 19406
Phone (215) 860-3360

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3400 Spruce St
Fl 3
Philadelphia, PA 19104

801 Spruce St
Fl 3
Philadelphia, PA 19107
Phone (215) 627-5272

3737 Market St
Fl 7
Philadelphia, PA 19104

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

145 King of Prussia Rd
Ste 111
Radnor, PA 19087
Phone (610) 902-1800

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

Interoperability endpoints

  • Direct secure messaging: vsrinivasan221925@direct.valleywisehealth.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 5

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1053750489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "2ND FLR. SOUTH PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3487",
            "fax_number": "215-349-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "2ND FLR. SOUTH PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3487",
            "fax_number": "215-349-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033109",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "VISISH",
        "middle_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA11385500",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD476342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005314",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.