Individual provider Active NPI

Sreenivas P Kamath, MD

  • Cardiovascular Disease Physician
  • Goshen, IN
National Provider Identifier
1629165378
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01064505A Issued in IN
Practice address
1855 S Main St Ste a
Goshen, IN 46526-4853
Phone
(574) 533-7476
Fax
(574) 533-7145
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 01064505A IN Primary

Addresses

Primary practice location

1855 S Main St Ste a
Goshen, IN 46526-4853

Mailing address

1855 S Main St Ste a
Goshen, IN 46526-4853
Phone (574) 533-7476

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sreenivas.kamathmd.p1@direct.goshenphysicians.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address sreenivas.kamath@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210712002228 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1355314683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians
Goshen Hospital Association IncGroup PAC ID 5991770695, 10 clinicians

Practice addresses (Care Compare)

1855 S Main St
Suite a
Goshen, IN 46526-4853
Phone (574) 533-7476

200 High Park Ave
Goshen, IN 46526-4810
Phone (219) 533-2141

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064505AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc CurrentSince Sep 1, 2021 Accepting new patients
Goshen Health System Inc CurrentSince Sep 1, 2021 Accepting new patients
Goshen Hospital Association Inc CurrentSince Sep 1, 2021 Accepting new patients
Goshen Hospital Association Inc PastSince Sep 23, 2021 Accepting new patients

Locations

1855 S Main St
Ste A
Goshen, IN 46526
Phone (574) 533-7476

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

Interoperability endpoints

  • Direct secure messaging: skamath10570@direct.bronsonhg.org
  • Direct secure messaging: sreenivas.kamath@goshenhealthdirect.com

Organizations & group practices 4

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 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1629165378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264853",
            "telephone_number": "574-533-7476",
            "fax_number": "574-533-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S MAIN ST STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264853",
            "telephone_number": "574-533-7476",
            "fax_number": "574-533-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMATH",
        "first_name": "SREENIVAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01064505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreenivas.kamathmd.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main St Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreenivas.kamath@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S Main St Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.