Srig Med LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

SRIG MED LLC

Practice address

21030 Frederick Rd Ste 102G
Germantown, MD 20876-4133

Phone

(240) 393-6880

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Atchutha Geetha Chan ChilakamarriNPI 1750508958

Title

MD

Phone

(240) 439-8812

Specialties & licenses 2

Addresses

Other names 1

• SRIG MED LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atchutha Geetha Chan Chilakamarri, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Frederick, MD
  • NPI 1750508958

  DC

  Medicare reassignment NPD Authorized official
• Sheeba Raaj Nadarajah

  • Family Nurse Practitioner
  • College Park, MD
  • NPI 1396314381

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1245952985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11829 PEPPERVINE DR # 20871",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208716312",
            "telephone_number": "240-393-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21030 FREDERICK RD STE 102G",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764133",
            "telephone_number": "240-393-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIG MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "CHILAKAMARRI",
        "authorized_official_first_name": "ATCHUTHA GEETHA CHAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "240-439-8812",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRIG MED LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Carl Spinks, DMD
• Cynthia Spooner, MSPT
• Nyla Springer
• Cheryl Jane Spritzer, RN, MS, CRNP
• Destinie Spurlock
• Erin Aileen Sripinyo, D.P.T.
• Molrat Sripinyo, RPH
• Michael St Hilaire
• Darling St Louis, LCSW-C
• St. Joseph Metro Transport LLC

• Geriatric Medicine (Family Medicine) Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Geriatric Medicine (Family Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.