Active NPI
Krishnaswami Srinivasan, MD
- Primary Care Clinic/Center
- Tuskegee, AL
National Provider Identifier
1316044365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 35.048947
- Practice address
- 2400 Hospital Rd
Tuskegee, AL 36083-5001 - Phone
- (334) 727-0550
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 35.048947 | OH | Primary |
Addresses
Primary practice location
2400 Hospital Rd
Tuskegee, AL 36083-5001
Mailing address
174 Asheton LN
Auburn, AL 36830-2686
Phone (334) 821-2578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.048947 | OH | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316044365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 ASHETON LN",
"city": "AUBURN",
"state": "AL",
"postal_code": "368302686",
"telephone_number": "334-821-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL RD",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360835001",
"telephone_number": "334-727-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINIVASAN",
"first_name": "KRISHNASWAMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OH",
"license": "35.048947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
- Xavier Markies Smith, LMSW
- Eileen M Sordo, PHARMD
- Southeast Pediatrics
- Southeast Pediatrics,P.C.
- Verna Nicole Sparks-Cooke, LAPSW
- Ashley Stack-Johnston, LGSW
- State of Alabama
- State of Alabama Department of Public Health (Macon County Health Dept Flu-Pneu)
- State of Alabama Department of Public Health (Macon County Home Care)
- Andrea Darmyka Steen, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.