Active NPI
Ravi Kumar Sreerama, M.D.
- Internal Medicine Physician
- Clarksville, TX
National Provider Identifier
1154373397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H6963
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118459 | Other | TX | SUPERIOR HEALTH |
| 45D0663902 | Other | TX | CLIA |
| 130504705 | Medicaid | TX | |
| 00B81U | Other | TX | BCBS |
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
- Scarlett Home Health Care, Inc
- Amazing Health Services
- Asia Home Healthcare Incorporated
- Intuitive Care Home Health Agency, LLC
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6963 | TX | MD | Internal Medicine Physician |
Interoperability endpoints
- 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.
-
- Home Health Agency
- Keller, TX
- NPI 1356398887
-
- Home Health Agency
- Dallas, TX
- NPI 1154790871
-
- Home Health Agency
- McKinney, TX
- NPI 1114637428
-
- Home Health Agency
- Dallas, TX
- NPI 1366090664
-
- Home Health Agency
- San Antonio, TX
- NPI 1659465623
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.