Individual provider Active NPI

Srikanth Aswin Radhakrishnan, MD

  • Interventional Cardiology Physician
  • Bangor, ME
National Provider Identifier
1124513627
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD28620 Issued in ME
Practice address
1 Northeast Dr
Bangor, ME 04401-4332
Phone
(207) 275-3800
Fax
(207) 275-3836
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD28620 ME Primary

Addresses

Primary practice location

1 Northeast Dr
Bangor, ME 04401-4332

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sradhakrishnan@direct.emhs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20250617000248 ME Practitioner - Cardiovascular Disease (Cardiology) 8527579564 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians
Charles a Dean Memorial HospitalGroup PAC ID 1557279031, 24 clinicians

Practice addresses (Care Compare)

1 Northeast Dr
Northern Light Cardiology
Bangor, ME 04401-4332
Phone (207) 275-3800

22 Haley CT
Sangerville, ME 04479-3000
Phone (207) 876-4811

PO Box
Suite 1129
Greenville, ME 04441-1129

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Down East Community Hospital Hospital, Machias, ME, CCN 201311
  • Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309
  • Cary Medical Center Hospital, Caribou, ME, CCN 200031
  • Penobscot Valley Hospital Hospital, Lincoln, ME, CCN 201303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Blue Hill Memorial Hospital CurrentSince Aug 17, 2025 Accepting new patients
Acadia Hospital Corp CurrentSince Sep 1, 2025 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Aug 17, 2025 Accepting new patients
City of Caribou CurrentSince Jul 1, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Aug 17, 2025 Accepting new patients
MRH Corp. CurrentSince Aug 17, 2025 Accepting new patients
MRH Corp. CurrentSince Aug 17, 2025 Accepting new patients
Eastern Maine Healthcare Systems CurrentSince Aug 17, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Apr 12, 2025 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Aug 17, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Aug 17, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Apr 12, 2025 Accepting new patients
Sebasticook Valley Health CurrentSince Aug 17, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Aug 17, 2025 Accepting new patients
Northeast Cardiology Associates PastSince Jun 1, 2025 Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

489 State St
Bangor, ME 04401
Phone (207) 973-8837

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Interoperability endpoints

  • Direct secure messaging: sradhakrishnan@direct.emhs.org

Organizations & group practices 16

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 16

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1124513627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006",
            "telephone_number": "207-973-5000",
            "fax_number": "207-973-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHEAST DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014332",
            "telephone_number": "207-275-3800",
            "fax_number": "207-275-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "SRIKANTH",
        "middle_name": "ASWIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ME",
            "license": "MD28620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sradhakrishnan@direct.emhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Northeast Dr",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044014332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.