Active NPI
Priyanka Srinivas, MD
- Hospitalist Physician
- Corbin, KY
National Provider Identifier
1093029282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- TP736
- Practice address
- 2 Trillium Way Ste 306
Corbin, KY 40701 - Phone
- (606) 526-4070
- Fax
- (606) 526-4072
- NPI assigned
- Jul 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301106258 | MI | |
| Internal Medicine Physician | 207R00000X | BP10036943 | TX | |
| Hospitalist Physician | 208M00000X | 27438 | NE | |
| Hospitalist Physician | 208M00000X | 4301106258 | MI | |
| Hospitalist Physician | 208M00000X | TP736 | KY | Primary |
Addresses
Primary practice location
2 Trillium Way Ste 306
Corbin, KY 40701
Mailing address
PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131
Other practice location 1
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000
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 |
|---|---|---|---|
| BP10036943 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1093029282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1325",
"city": "CORBIN",
"state": "KY",
"postal_code": "407021325",
"telephone_number": "606-526-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRILLIUM WAY STE 306",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"telephone_number": "606-526-4070",
"fax_number": "606-526-4072"
}
],
"practiceLocations": [
{
"address_1": "1521 Gull Rd",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490481640",
"country_code": "US",
"telephone_number": "269-226-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SRINIVAS",
"first_name": "PRIYANKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-30",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301106258",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10036943",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NE",
"license": "27438",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301106258",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "TP736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.