Organization Active NPI

Sridhar Bhaskara MD LLC

  • Interventional Pain Medicine Physician
  • Newburgh, IN
National Provider Identifier
1376938704
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SRIDHAR BHASKARA MD LLC
Practice address
4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone
(812) 842-2737
Fax
(812) 842-2751
NPI assigned
Apr 2, 2015
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Sridhar Bhaskara, MDNPI 1003892035
Title
Owner
Phone
(812) 473-0181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

4099 Gateway Blvd
Newburgh, IN 47630-8947

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhs@direct.deaconess.com

National Provider Directory

National Provider Directory

Locations

213 NW 10th St
Ste C
Fairfield, IL 62837
Phone (618) 842-2082

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1376938704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-842-2737",
            "fax_number": "812-842-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIDHAR BHASKARA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "BHASKARA",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-473-0181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "address_1": "4099 Gateway Blvd",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476308947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.