Individual provider Active NPI

Sridhara Ramanna, M.S., PH.D., CCC

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1508021841
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004137A Issued in IN
Practice address
5226 E 82ND St
Regency Place of Castleton
Indianapolis, IN 46250-1628
Phone
(317) 842-6668
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22004137A IN Primary

Addresses

Primary practice location

5226 E 82ND St
Regency Place of Castleton
Indianapolis, IN 46250-1628

Mailing address

9040 Woodmoss LN Apt 1a
Autumnwoods Apartments
Indianapolis, IN 46250-1037
Phone (317) 842-1731

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)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22004137AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bhanja Enterprises LLC CurrentSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1508021841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 WOODMOSS LN APT 1A",
            "address_2": "AUTUMNWOODS APARTMENTS",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501037",
            "telephone_number": "317-842-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 E 82ND ST",
            "address_2": "REGENCY PLACE OF CASTLETON",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501628",
            "telephone_number": "317-842-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMANNA",
        "first_name": "SRIDHARA",
        "name_prefix": "Dr.",
        "credential": "M.S., PH.D., CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004137A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.