Organization Active NPI

Latha Srikrishna, MD, PC

Doing business as Stoney Creek Physicians

  • Primary Care Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1295205532
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LATHA SRIKRISHNA, MD, PC
Doing business as
Stoney Creek Physicians
Practice address
441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585
Phone
(248) 963-2191
NPI assigned
Nov 29, 2018
Last updated
Dec 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Latha Srikrishna, MDNPI 1316025695
Title
President
Phone
(248) 210-5404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585

Mailing address

441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585
Phone (248) 841-1040

Other names 1

  • Stoney Creek Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190109000815 MI Part B Supplier - Clinic/Group Practice 5193061398 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

441 S Livernois Rd
Ste 185
Rochester Hills, MI 48307
Phone (248) 651-2273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1295205532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 185",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-841-1040",
            "fax_number": "248-923-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 185",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-963-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHA SRIKRISHNA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "SRIKRISHNA",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-210-5404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoney Creek Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stoney Creek Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.