Individual provider Active NPI

Preethi Sriram, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Glen Burnie, MD
National Provider Identifier
1093078222
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D83897 Issued in MD
Practice address
300 Hospital Dr Ste 121
Glen Burnie, MD 21061-5706
Phone
(410) 787-4940
Fax
(410) 787-4941
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D83897 MD Primary

Addresses

Primary practice location

300 Hospital Dr Ste 121
Glen Burnie, MD 21061-5706

Mailing address

300 Hospital Dr Ste 121
Glen Burnie, MD 21061-5706
Phone (410) 787-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171017002935 MD Practitioner - Endocrinology 7618243726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

255 Hospital Dr
Glen Burnie, MD 21061-5801

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 5, 2017 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Baltimore Washington Medical Center Inc. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

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

219 S Washington St
Easton, MD 21601

255 Hospital Dr
Ste 207
Glen Burnie, MD 21061
Phone (410) 443-8170

300 Hospital Dr
Ste 121
Glen Burnie, MD 21061
Phone (410) 761-0900

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

920 Elkridge Landing Rd
Linthicum Heights, MD 21090

Organizations & group practices 3

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.

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1093078222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 121",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615706",
            "telephone_number": "410-787-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR STE 121",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615706",
            "telephone_number": "410-787-4940",
            "fax_number": "410-787-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIRAM",
        "first_name": "PREETHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D83897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.