NPIMap

Individual provider Active NPI

Sreedevi Sreenarasimhaiah, MD

  • Obstetrics & Gynecology Physician
  • Appleton, WI
National Provider Identifier
1487610861
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50218-20 Issued in WI
Practice address
2501 E Enterprise Ave
Suite 200
Appleton, WI 54913-7805
Phone
(920) 729-7105
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 50218-20 WI Primary

Addresses

Primary practice location

2501 E Enterprise Ave
Suite 200
Appleton, WI 54913-7805

Mailing address

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 749-4000

Other identifiers 1

IdentifierTypeStateIssuer
147123701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070514000560 WI Practitioner - Obstetrics/Gynecology 8820195514 Reassigns benefits to 2 organizations
I20210205001701 TX Practitioner - Obstetrics/Gynecology 8820195514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Kansas City, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Specialists SCGroup PAC ID 8628044138, 27 clinicians

Practice addresses (Care Compare)

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 749-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Nov 4, 2020 Accepting new patients
Dynamic Anesthesia Providers PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Obhg Wisconsin, S.C. Obstetrics & Gynecology CurrentSince Jan 7, 2021 Accepting new patients
Women'S Health Specialists, S.C. Obstetrics & Gynecology CurrentSince Aug 16, 2021 Accepting new patients
The Medical College of Wisconsin, Inc. PastSince Jan 1, 2013 Accepting new patients
Fox Valley Perinatology, S.C. Past Accepting new patients
Theda Clark OB Hospitalists SC Obstetrics & Gynecology PastSince Sep 5, 2023 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1818 N Meade St
Ste 330
Appleton, WI 54911
Phone (920) 749-4000

2500 E Capitol Dr
Ste 1650
Appleton, WI 54911
Phone (920) 749-4000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

200 Theda Clark Medical Plz
Ste 130
Neenah, WI 54956

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Organizations & group practices 7

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 12

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1487610861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-749-4000",
            "fax_number": "920-749-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E ENTERPRISE AVE",
            "address_2": "SUITE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137805",
            "telephone_number": "920-729-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREENARASIMHAIAH",
        "first_name": "SREEDEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "50218-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147123701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.