Individual provider Active NPI

Latha Srikrishna, M. D.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1316025695
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301081098 Issued in MI
Practice address
441 S Livernois Rd Ste 185
Rochester Hills, MI 48307-2585
Phone
(248) 963-2191
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301081098 MI Primary

Addresses

Primary practice location

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

Mailing address

1135 W University Dr Ste 220
Rochester Hills, MI 48307-1872
Phone (248) 963-2191

Other identifiers 2

IdentifierTypeStateIssuer
0805016261OtherMIBCBS
1316025695MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050506000419 MI Practitioner - Family Practice 6406896695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

441 S Livernois Rd
Suite 185
Rochester Hills, MI 48307-2585
Phone (248) 963-2191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081098MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Latha Srikrishna, MD, PC CurrentSince Dec 1, 2018 Accepting new patients
Romeo Urgent Care, PC Past Accepting new patients

Locations

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

75 Barclay Cir
Ste 230
Rochester Hills, MI 48307
Phone (248) 246-1127

441 S Livernois Rd
Ste 280
Rochester Hills, MI 48307
Phone (248) 494-8424

1135 W University Dr
Ste 220
Rochester Hls, MI 48307
Phone (248) 651-1155

Interoperability endpoints

  • Direct secure messaging: lsrikrishna1257161@epic00.shdirect.org
  • Direct secure messaging: lsrikrishna1152182@direct.hfhs.org

Organizations & group practices 2

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 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1316025695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071872",
            "telephone_number": "248-963-2191"
        },
        {
            "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": {
        "last_name": "SRIKRISHNA",
        "first_name": "LATHA",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0805016261",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316025695",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.