Individual provider Active NPI

Bhaskaran N Sreekumar, M.D.

  • Cardiovascular Disease Physician
  • Madisonville, KY
National Provider Identifier
1538140165
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
KY33663 Issued in KY
Practice address
44 McCoy Ave
Suite 379
Madisonville, KY 42431-2867
Phone
(270) 821-0677
Fax
(270) 821-2539
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X KY33663 KY Primary

Addresses

Primary practice location

44 McCoy Ave
Suite 379
Madisonville, KY 42431-2867

Mailing address

200 Clinic Dr
Madisonville, KY 42431-1661

Other identifiers 1

IdentifierTypeStateIssuer
64336639MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsreekumar8894@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20060424000396 KY Practitioner - Cardiovascular Disease (Cardiology) 4082678651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 Hospital Dr
FL 1
Madisonville, KY 42431-1658
Phone (270) 326-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KY33663KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Neurology LLC Current Accepting new patients
Baptist Health Medical Group Inc Cardiovascular Disease CurrentSince Aug 23, 2016 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Madisonville Inc Past Accepting new patients

Locations

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

44 McCoy Ave
Ste 379
Madisonville, KY 42431
Phone (270) 821-0677

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

800 Hospital Dr
Fl 1
Madisonville, KY 42431
Phone (270) 326-3800

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

800 Hospital Dr
Fl First
Madisonville, KY 42431

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 5

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 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1538140165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "address_2": "SUITE 379",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-821-0677",
            "fax_number": "270-821-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEKUMAR",
        "first_name": "BHASKARAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "KY33663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64336639",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsreekumar8894@bhkydirect.com",
            "affiliation": "N",
            "address_1": "800 Hospital Dr Fl 1",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424311658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.