Individual provider Active NPI

Suppiramaniam Sreeharikesan

  • Clinical Cardiac Electrophysiology Physician
  • Morgantown, WV
National Provider Identifier
1386870954
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD439364 Issued in PA
Practice address
2000 Mon Health Medical Park Dr Ste 2300
Suite 2001
Morgantown, WV 26505-1168
Phone
(304) 599-8802
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD439364 PA Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2300
Suite 2001
Morgantown, WV 26505-1168

Mailing address

2000 Mon Health Medical Park Dr Ste 2300
Suite 2001
Morgantown, WV 26505-1168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suppiramaniam.sreeharikesan@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100419000133 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 2466589742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair50
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services Cardiovascular Disease CurrentSince May 31, 2019 Accepting new patients
Susquehanna Physician Services CurrentSince May 31, 2019 Accepting new patients

Locations

1112 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8355

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: ssreeharikesan239422@upmc.direct-ci.com

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1386870954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "address_2": "SUITE 2001",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "address_2": "SUITE 2001",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEHARIKESAN",
        "first_name": "SUPPIRAMANIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD439364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suppiramaniam.sreeharikesan@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.