Individual provider Active NPI

Ravi Kumar Sreerama, M.D.

  • Internal Medicine Physician
  • Clarksville, TX
National Provider Identifier
1154373397
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H6963 Issued in TX
Practice address
103 N College St
Clarksville, TX 75426-2982
Phone
(903) 427-5682
Fax
(903) 427-2148
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H6963 TX Primary

Addresses

Primary practice location

103 N College St
Clarksville, TX 75426-2982

Mailing address

103 N College St
Clarksville, TX 75426-2982
Phone (903) 427-5682

Other identifiers 4

IdentifierTypeStateIssuer
118459OtherTXSUPERIOR HEALTH
45D0663902OtherTXCLIA
130504705MedicaidTX
00B81UOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2435 N Central Expy
Suite 805
Richardson, TX 75080-2731

3526 Galveston TRL
San Antonio, TX 78253-6219

Hospital & facility affiliations

  • Tricare Home Health Services Inc Home health agency, San Antonio, TX, CCN 678422
  • Scarlett Home Health Care, Inc Home health agency, Dallas, TX, CCN 748004
  • Amazing Health Services Home health agency, Dallas, TX, CCN 679651
  • Asia Home Healthcare Incorporated Home health agency, Keller, TX, CCN 747285
  • Intuitive Care Home Health Agency, LLC Home health agency, McKinney, TX, CCN 748098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H6963TXMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ravi.sreerama.1@25919.direct.athenahealth.com

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1154373397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262982",
            "telephone_number": "903-427-5682",
            "fax_number": "903-427-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262982",
            "telephone_number": "903-427-5682",
            "fax_number": "903-427-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREERAMA",
        "first_name": "RAVI",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH",
            "identifier": "118459",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0663902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130504705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00B81U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.