Individual provider Active NPI

Shriram P Sirsikar, M.D.

  • Internal Medicine Physician
  • Johnstown, PA
National Provider Identifier
1245239391
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD423546 Issued in PA
Practice address
1 Tech Park Dr
Suite 1150
Johnstown, PA 15901-2515
Phone
(814) 410-8300
Fax
(814) 410-8331
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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 MD423546 PA Primary

Addresses

Primary practice location

1 Tech Park Dr
Suite 1150
Johnstown, PA 15901-2515

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300

Other identifiers 1

IdentifierTypeStateIssuer
1009416780002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040607001236 PA Practitioner - Internal Medicine 1557343027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1 Tech Park Dr
Johnstown, PA 15901-2515
Phone (814) 534-6750

1 Tech Park Dr
Suite 1150
Johnstown, PA 15901-2509
Phone (814) 475-8700

1086 Franklin St
Johnstown, PA 15905-4305

1086 Franklin St E
Johnstown, PA 15905-4305
Phone (814) 534-9104

1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194

1111 Franklin St
Johnstown, PA 15905-4341

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

  • Conemaugh Home Health Home health agency, Johnstown, PA, CCN 397406
  • Windber Hospice Hospice, Windber, PA, CCN 391541
  • Interim Healthcare Hospice & Palliative Care Hospice, Johnstown, PA, CCN 391756
  • 1 Laurel Highlands Hospice Care Hospice, Johnstown, PA, CCN 731511
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
  • Upmc Somerset Hospital, Somerset, PA, CCN 390039
  • Select Specialty Hospital - Johnstown Long-term care hospital, Johnstown, PA, CCN 392031
  • Conemaugh Memorial Medical Center Tcu Nursing home, Johnstown, PA, CCN 396102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD423546PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Shriram Sirsikar LLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Select Specialty Hospital - Johnstown Inc Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

1 Tech Park Dr
Johnstown, PA 15901
Phone (814) 475-8600

320 Main St
Fl 3
Johnstown, PA 15901
Phone (814) 534-7360

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

321 Main St
Ste 3G
Johnstown, PA 15901
Phone (814) 254-6673

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1086 Franklin St
Bldg E
Johnstown, PA 15905
Phone (814) 534-9104

3 Penn Ctr W
Ste 127
Pittsburgh, PA 15276

Interoperability endpoints

  • Direct secure messaging: ssirsikar9126@direct.conemaugh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1245239391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECH PARK DR",
            "address_2": "SUITE 1150",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012515",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRSIKAR",
        "first_name": "SHRIRAM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD423546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009416780002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.