NPIMap

Individual provider Active NPI

Latha Srinath, MD

  • Infectious Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1407959802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0066586 Issued in FL
Practice address
2300 South Congress Ave Ste 100
Boynton Beach, FL 33426
Phone
(561) 735-7531
Fax
(561) 742-8250
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0066586 FL Primary

Addresses

Primary practice location

2300 South Congress Ave Ste 100
Boynton Beach, FL 33426

Mailing address

2300 South Congress Ave Ste 100
Boynton Beach, FL 33426
Phone (561) 735-7531

Other identifiers 3

IdentifierTypeStateIssuer
376440100MedicaidFL
25857OtherFLBLUE CROSS
2198994OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001430 FL Practitioner - Infectious Disease 0547163396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Id Consultants IncGroup PAC ID 5991602963, 5 clinicians

Practice addresses (Care Compare)

2300 S Congress Ave
Suite 100
Boynton Beach, FL 33426-7400
Phone (561) 735-4829

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.52 of 100Reported as group
Quality
81.67
Improvement activities
40
Cost
78.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066586FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc Infectious Disease CurrentSince Oct 1, 1997 Accepting new patients
Suzanne Y Succop MD PA Infectious Disease PastSince Oct 1, 1997 Accepting new patients

Locations

2300 S Congress Ave
Ste 100
Boynton Beach, FL 33426
Phone (561) 735-4829

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lsrinath328627@mhsdirect.net

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407959802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTH CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-735-7531",
            "fax_number": "561-742-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTH CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-735-7531",
            "fax_number": "561-742-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINATH",
        "first_name": "LATHA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0066586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376440100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "25857",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2198994",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.