NPIMap

Individual provider Active NPI

Srividya Bhandaram, M.D.

  • Nephrology Physician
  • Denver, CO
National Provider Identifier
1508038787
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
49537 Issued in CO
Practice address
4545 E 9TH Ave Ste 150
Denver, CO 80220-3906
Phone
(303) 991-0993
Fax
(303) 531-6583
NPI assigned
Mar 28, 2008
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 104410 MN
Nephrology Physician 207RN0300X 52400 MN
Nephrology Physician 207RN0300X 57-012997 OH
Nephrology Physician 207RN0300X 49537 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave Ste 150
Denver, CO 80220-3906

Mailing address

130 Rampart Way
Denver, CO 80230-6440
Phone (303) 327-4700

Other names 1

  • Dr. Srividya Vootukuru Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110420000757 CO Practitioner - NephrologyPractitioner - Internal Medicine 0749336816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Nephrologists PCGroup PAC ID 8729991393, 45 clinicians

Practice addresses (Care Compare)

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 991-0993

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-012997OHMDNephrology Physician
104410MNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Nephrologists, PC CurrentSince Apr 1, 2011 Accepting new patients
Denver Nephrologists PC Nephrology Current Accepting new patients
Denver Nephrologists, PC Nephrology CurrentSince Apr 1, 2011 Accepting new patients

Locations

1411 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 367-2225

130 Rampart Way
Ste 300B
Denver, CO 80230
Phone (303) 343-4700

13901 E Exposition Ave
Ste 202
Denver, CO 80012
Phone (305) 781-4813

1601 E 19th Ave
Ste 4300
Denver, CO 80218
Phone (303) 861-4845

4545 E 9th Ave
Ste 150
Denver, CO 80220
Phone (303) 991-0993

919 Jasmine St
Denver, CO 80220
Phone (303) 388-4256

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1508038787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306440",
            "telephone_number": "303-327-4700",
            "fax_number": "303-327-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203906",
            "telephone_number": "303-991-0993",
            "fax_number": "303-531-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARAM",
        "first_name": "SRIVIDYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "104410",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "52400",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "57-012997",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "49537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIVIDYA",
            "last_name": "VOOTUKURU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.