Sriveer Kaasam, M.D.
Individual provider Active NPI Family Medicine Physician · Park Rapids, MN
NPI 1508206749 · NPPES record last updated Sep 20, 2016
Key facts
- NPI
- 1508206749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 60252 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- NPI assigned
- Jul 2, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carris Health - Redwood LLC
Centracare Health System-NR LLC
Gulf Coast Physician Services, PLLC
Centracare Health-Paynesville LLC
Carris Health LLC
Practice addresses (Care Compare)
101 Caring Way
Redwood Falls, MN 56283-2624
Phone (507) 637-2985
1013 Hart Blvd
Monticello, MN 55362-8575
Phone (763) 295-2945
1311 E General Cavazos Blvd
Christus Spohn Hospital Kleberg
Kingsville, TX 78363-7150
Phone (361) 595-1661
200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3767
301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543
Hospital & facility affiliations
- Christus Spohn Hospital Corpus Christi
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200401000724 | TX | Practitioner - Family Practice | 3173843653 | Reassigns benefits to 3 organizations |
| I20260420000107 | MN | Practitioner - Hospitalist | 3173843653 | Reassigns benefits to 17 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125063374 | IL | MD | Family Medicine Physician |
| 60252 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current |
Accepting new patients |
| Gulf Coast Physician Services, PLLC | Current |
Accepting new patients | |
| Cogent Healthcare of Texas, PA | Family Medicine | Current |
Accepting new patients |
| Christus Spohn Health System Corporation | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60252 | MN | Yes |
| Family Medicine Physician | 207Q00000X | 125063374 | IL |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (701) 364-8000
Other providers in Park Rapids, MN
- Scott Michael Johnson
- Thor Johnson
- Sandra L Jones
- Jay Christopher Jorgenson
- Don Josefson
- Anna C Kanani
- Rae Keashly
- Jennifer M Keller
- Jade Kelley
- Mariah Rose Kemmer
All providers in Park Rapids, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.