Individual provider Active NPI

Parthasarathy Srinivasan, M.D.

  • Nephrology Physician
  • Galesburg, IL
National Provider Identifier
1134199359
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036077837 Issued in IL
Practice address
834 N Seminary St Ste 501
Galesburg, IL 61401-0501
Phone
(309) 676-8123
Fax
(309) 676-8455
NPI assigned
Jan 23, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036077837 IL Primary

Addresses

Primary practice location

834 N Seminary St Ste 501
Galesburg, IL 61401-0501

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

527 E Grant St Fl 2
Macomb, IL 61455-3351
Phone (309) 676-8123

Other practice location 2

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 676-8123

Other practice location 3

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other identifiers 1

IdentifierTypeStateIssuer
036-077837MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071005000276 IL Practitioner - NephrologyPractitioner - Internal Medicine 1759476732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 676-8123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Sep 6, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Western Illinois Kidney Center CurrentSince Feb 1, 1998 Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 1, 2012 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince May 1, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 6, 2021 Accepting new patients
Fresenius Medical Care Galesburg, LLC PastSince Feb 1, 2017 Accepting new patients
Renal Intervention Center, PLLC Nephrology Past Accepting new patients

Locations

765 N Kellogg St
Ste 203
Galesburg, IL 61401
Phone (309) 343-4114

834 N Seminary St
Ste 501
Galesburg, IL 61401
Phone (309) 343-3303

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

505 E Grant St
Ste 201
Macomb, IL 61455
Phone (309) 833-3068

525 E Grant St
Fl 2
Macomb, IL 61455

527 E Grant St
Macomb, IL 61455
Phone (309) 344-7546

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: psrini@yourcarecommunity.org
  • Direct secure messaging: psrinivasan7792@direct.acumenmd.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1134199359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST STE 501",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614010501",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 E Grant St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "IL",
            "postal_code": "614553351",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "IL",
            "postal_code": "614621007",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 NE Glen Oak Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033112",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "PARTHASARATHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036077837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-077837",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.