Active NPI
Sriramloo Kesari, MD
- General Practice Physician
- Madison, WV
National Provider Identifier
1558318832
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 19, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12006
- Practice address
- 173 State St
Madison, WV 25130 - Phone
- (304) 369-4290
- Fax
- (304) 369-4289
- NPI assigned
- May 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12006 | WV | Primary |
Addresses
Primary practice location
173 State St
Madison, WV 25130
Mailing address
173 State St
Madison, WV 25130
Phone (304) 369-4290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049010000 | Medicaid | WV |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12006 | WV | MD | General Practice Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Danville, WV
- NPI 1457572604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558318832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 STATE ST",
"city": "MADISON",
"state": "WV",
"postal_code": "25130",
"telephone_number": "304-369-4290",
"fax_number": "304-369-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 STATE ST",
"city": "MADISON",
"state": "WV",
"postal_code": "25130",
"telephone_number": "304-369-4290",
"fax_number": "304-369-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESARI",
"first_name": "SRIRAMLOO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WV",
"license": "12006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049010000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.