Active NPI
Sreenivasa S Moorthy, M.D
- Anesthesiology Physician
- Carmel, IN
National Provider Identifier
1437540267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01026011A
- Practice address
- 9752 Colonial Drive
Carmel, IN 46032 - Phone
- (317) 337-0078
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01026011A | IN | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 01026011A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01026011A | IN |
Addresses
Primary practice location
9752 Colonial Drive
Carmel, IN 46032
Mailing address
9752 Colonial Drive
Carmel, IN 46032
Phone (317) 337-0078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026011A | IN | MD | Critical Care Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1437540267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9752 COLONIAL DRIVE",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-337-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9752 COLONIAL DRIVE",
"city": "CARMEL",
"state": "IN",
"postal_code": "46032",
"telephone_number": "317-337-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORTHY",
"first_name": "SREENIVASA",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01026011A",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IN",
"license": "01026011A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01026011A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.