Active NPI
Shridevi Karikehalli, MD
- Anatomic Pathology & Clinical Pathology Physician
- Utica, NY
National Provider Identifier
1114000437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 264820
- Practice address
- 1656 Champlin Avenue
Pathology Department. St. Lukes Hospital Campus
Utica, NY 13502 - Phone
- (315) 624-8244
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 264820 | NY | Primary |
Addresses
Primary practice location
1656 Champlin Avenue
Pathology Department. St. Lukes Hospital Campus
Utica, NY 13502
Mailing address
1656 Champlin Avenue
Pathology Department. St. Lukes Hospital Campus
Utica, NY 13502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03164321 | Medicaid | NY |
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 |
|---|---|---|---|
| 264820 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1114000437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVENUE",
"address_2": "PATHOLOGY DEPARTMENT. ST. LUKES HOSPITAL CAMPUS",
"city": "UTICA",
"state": "NY",
"postal_code": "13502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVENUE",
"address_2": "PATHOLOGY DEPARTMENT. ST. LUKES HOSPITAL CAMPUS",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-624-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARIKEHALLI",
"first_name": "SHRIDEVI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "264820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03164321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.