Individual provider Active NPI

Srikrishna Vemana, M.D.

  • Gastroenterology Physician
  • Annandale, VA
National Provider Identifier
1578771820
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101249332 Issued in VA
Practice address
3301 Woodburn Rd Ste 107
Annandale, VA 22003-1297
Phone
(703) 876-0437
Fax
(703) 876-0722
NPI assigned
May 18, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35.090524 OH
Gastroenterology Physician 207RG0100X 0101249332 VA Primary

Addresses

Primary practice location

3301 Woodburn Rd Ste 107
Annandale, VA 22003-1297

Mailing address

3301 Woodburn Rd Ste 107
Annandale, VA 22003-1297
Phone (703) 876-0437

Other practice location 1

2925 Vernon Pl
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 872-4555

Other practice location 2

2925 Vernon Pl
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 872-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110808000202 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 5496947756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Medical College of Ohio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Digestive Care LLCGroup PAC ID 3375857725, 2 clinicians

Practice addresses (Care Compare)

3301 Woodburn Rd
Suite 107
Annandale, VA 22003-1297
Phone (703) 876-0437

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.090524OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Digestive Care, LLC Gastroenterology CurrentSince Jan 1, 2017 Accepting new patients

Locations

3301 Woodburn Rd
Ste 107
Annandale, VA 22003
Phone (703) 876-0437

1635 N George Mason Dr
Ste 480
Arlington, VA 22205
Phone (703) 248-0111

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.

Hospital & facility affiliations 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578771820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 107",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031297",
            "telephone_number": "703-876-0437",
            "fax_number": "703-876-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 107",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031297",
            "telephone_number": "703-876-0437",
            "fax_number": "703-876-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192425",
            "country_code": "US",
            "telephone_number": "513-872-4555",
            "fax_number": "513-872-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192425",
            "country_code": "US",
            "telephone_number": "513-872-4555",
            "fax_number": "513-872-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEMANA",
        "first_name": "SRIKRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.090524",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101249332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.