Individual provider Active NPI

Padmavathi Devi Srivoleti

Internal Medicine Physician
Brighton, MA

National Provider Identifier

1144872243

Registry record updated Jul 10, 2019

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
NPI Registry JSON
Other providers in Brighton, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Internal Medicine PhysicianTaxonomy code 207R00000X
License: FS2328222-57 Issued in MA
Practice address: 736 Cambridge St
Brighton, MA 02135-2907
Phone: (617) 789-3000
NPI assigned: Jul 10, 2019
Sex: Female
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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
Internal Medicine Physician	207R00000X	FS2328222-57	MA	Primary

Addresses

Primary practice location

736 Cambridge St
Brighton, MA 02135-2907

Mailing address

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Electronic endpoints 5

Type	Endpoint	Use
Direct Messaging Address	padmavathi.srivoleti@steward.org	Direct
Direct Messaging Address	padmavathi.srivoleti@steward.org	Direct
Direct Messaging Address	padmavathi.srivoleti@steward.org	Direct
Direct Messaging Address	padmavathi.srivoleti@steward.org	Direct
Direct Messaging Address	padmavathi.srivoleti@steward.org	Direct

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment

Enrolled in MA

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 ID	State	Provider type	PAC ID	Details
I20230921003347	MA	Order and Referring Only - GastroenterologyPractitioner - Gastroenterology	6709230931

National Provider Directory

Medicare enrollment (NPD): Enrolled

State licenses

License	State	Type	Specialty
FS2328222-57	MA	MD	Internal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1144872243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-789-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVOLETI",
        "first_name": "PADMAVATHI",
        "middle_name": "DEVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "FS2328222-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padmavathi.srivoleti@steward.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "736 Cambridge St",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021352907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padmavathi.srivoleti@steward.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "736 Cambridge St",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021352907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padmavathi.srivoleti@steward.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "736 Cambridge St",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021352907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padmavathi.srivoleti@steward.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "736 Cambridge St",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021352907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "padmavathi.srivoleti@steward.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "736 Cambridge St",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021352907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.