Jayashree Srinivasan, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD00030207 Issued in WA

Practice address

801 Broadway
617
Seattle, WA 98122-4396

Phone

(206) 623-0922

Fax

(206) 623-1588

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jayashree.srinivasan.p20@direct.proliance.nextgenshare.com

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.

• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons Inc., P.S.

  • Multi-Specialty Clinic/Center
  • Edmonds, WA
  • NPI 1386687747
  NPD
• Neurosurgical Consultants of Washington, Inc P S

  • Neurological Surgery Physician
  • Bellevue, WA
  • NPI 1851514244
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1407812134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY STE 617",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224319",
            "telephone_number": "206-623-0922",
            "fax_number": "206-623-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY",
            "address_2": "617",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224396",
            "telephone_number": "206-623-0922",
            "fax_number": "206-623-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 NE Blakely Dr Ste 4020",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980296201",
            "country_code": "US",
            "telephone_number": "206-623-0922",
            "fax_number": "206-623-1588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 Cooper Point Rd NW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028325",
            "country_code": "US",
            "telephone_number": "206-623-0922",
            "fax_number": "206-623-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "JAYASHREE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00030207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009583",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "383915",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balaji V Sridhar, MD, PHD, MPH
• Natalie Kiran Sridhar, LMHCA
• Suhas Sridhar, MD
• Srithi Srinath
• Dhara Ilene Miller Srinivasan
• Nandakumar Srinivasan, MD
• Vasisht Srinivasan, M.D.
• Aarthi Sriram
• Thian Srisurapol, DDS
• Anand Srivastava

• Neurological Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Neurological Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.