Active NPI
Akshitha Sreeram, DPM
- Student in an Organized Health Care Education/Training Program
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 12416 66TH St Ste a
Largo, FL 33773-3430 - Phone
- (727) 547-4700
- Fax
- (727) 394-8661
- NPI assigned
- May 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
12416 66TH St Ste a
Largo, FL 33773-3430
Mailing address
12416 66TH Street
Suite a
Largo, FL 33773-3334
Phone (727) 547-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4282 E Rockton Rd
Sa Stateline Clinic
Roscoe, IL 61073-7420
Phone (779) 696-9000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 116 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Alexander Medical Group LLC | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients |
Locations
12416 66th St
Largo, FL 33773
Phone (727) 408-5310
12416 66th St
Ste A
Largo, FL 33773
Phone 7275474700112
2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
4282 E Rockton Rd
Roscoe, IL 61073
Phone (779) 676-8160
Organizations & group practices 4
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.
-
dba SwedishAmerican Medical Group
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
dba Alexander Orthopaedic Associates
- Orthopaedic Surgery Physician
- Largo, FL
- NPI 1265453286
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Endocrinology, Diabetes & Metabolism Physician
- Freeport, IL
- NPI 1902134281
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1316521008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12416 66TH STREET",
"address_2": "SUITE A",
"city": "LARGO",
"state": "FL",
"postal_code": "337733334",
"telephone_number": "727-547-4700",
"fax_number": "727-394-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12416 66TH ST STE A",
"city": "LARGO",
"state": "FL",
"postal_code": "337733430",
"telephone_number": "727-547-4700",
"fax_number": "727-394-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SREERAM",
"first_name": "AKSHITHA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-08",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
- Spirit Enterprises
- Shaun Jeffery Spoeneman, M.P.T.
- Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
- Lindsay Erin Spotts, MS RD LD/N
- SPT KR LLC
- Ashley Beth Srivastava, LCSW
- Sunit Srivastava, M.D.
- SST Medical Solutions, Inc.
- Peggy Ann St Croix, ARNP
- St Mary Pharmacy LLC (St. Mary Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.