Individual provider Active NPI

Neeraj Sriram, MD

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, SC
National Provider Identifier
1467849943
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
87630 Issued in SC
Practice address
2611 Forest Dr Ste 200
Columbia, SC 29204-2371
Phone
(803) 779-3263
Fax
(803) 779-3207
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 61372 TN
Pain Medicine (Anesthesiology) Physician 207LP2900X 87630 SC Primary

Addresses

Primary practice location

2611 Forest Dr Ste 200
Columbia, SC 29204-2371

Mailing address

2611 Forest Dr Ste 200
Columbia, SC 29204-2371
Phone (803) 779-3263

Other identifiers 1

IdentifierTypeStateIssuer
Q059420MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20220519002460 SC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880914969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Pain Management LLCGroup PAC ID 9234307521, 11 clinicians

Practice addresses (Care Compare)

2611 Forest Dr
Suite 200
Columbia, SC 29204-2371
Phone (803) 779-3263

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87630SCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Pain Management LLC CurrentSince Jun 1, 2022 Accepting new patients
Carolina Interventional Pain Institute, LLC Past Accepting new patients
Palmetto Pain Management, LLC Past Accepting new patients

Locations

2611 Forest Dr
Ste 100
Columbia, SC 29204
Phone (803) 779-3263

2611 Forest Dr
Ste 200
Columbia, SC 29204
Phone (803) 779-3263

Interoperability endpoints

  • Direct secure messaging: neeraj.sriram.1@17099.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17099/brand/4/csg/1/fhir/r4
  • Direct secure messaging: neeraj.sriram.2@17099.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1467849943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 FOREST DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042371",
            "telephone_number": "803-779-3263",
            "fax_number": "803-779-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 FOREST DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042371",
            "telephone_number": "803-779-3263",
            "fax_number": "803-779-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIRAM",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "61372",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "87630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059420",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.