Sridevi A Vedantam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01047370A Issued in IN

Practice address

10318 Copper Ridge Dr
Fishers, IN 46040-1465

Phone

(765) 965-6566

NPI assigned

Dec 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: svedantam292703@ecommunitydirect.com

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1205810207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 COPPER RIDGE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460401465",
            "telephone_number": "765-965-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10318 COPPER RIDGE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460401465",
            "telephone_number": "765-965-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Chester Blvd Ste A",
            "address_2": "Reid Medical Associates",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741907",
            "country_code": "US",
            "telephone_number": "765-935-8914",
            "fax_number": "765-935-8915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Ritter Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193046",
            "country_code": "US",
            "telephone_number": "317-355-3052",
            "fax_number": "317-355-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEDANTAM",
        "first_name": "SRIDEVI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047370A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200138750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000683524",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svedantam292703@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "1400 N Ritter Ave Ste 410",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kate Marie Vanpoppel, PA-C
• Rachel Louise Vanwoerden, RDN
• Laterra Vaughn
• Ana H Vazquez
• Kayla Danielle Veach, NP-C
• Natalie Vermeulen
• Keri N Vicente Flores, DPT
• David E Vickery, MD
• Caroline Semeghini Vieira
• Village Dental, PC

• Internal Medicine Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.