Individual provider Active NPI

Meera Veda Sreenivasan, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1639490816
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
133964 Issued in CA
Practice address
201 Spear St
Suite 230
San Francisco, CA 94105-1630
Phone
(415) 503-9277
Fax
(415) 291-0489
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14969 HI
Internal Medicine Physician 207R00000X MD038923 DC
Internal Medicine Physician 207R00000X 133964 CA Primary

Addresses

Primary practice location

201 Spear St
Suite 230
San Francisco, CA 94105-1630

Mailing address

201 Spear St
Suite 230
San Francisco, CA 94105-1630
Phone (415) 503-9277

Other names 1

  • Meera Veda Sreenivasan-Ouk Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190501001655 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0143417097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14969HIMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1639490816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SPEAR ST",
            "address_2": "SUITE 230",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051630",
            "telephone_number": "415-503-9277",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SPEAR ST",
            "address_2": "SUITE 230",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051630",
            "telephone_number": "415-503-9277",
            "fax_number": "415-291-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREENIVASAN",
        "first_name": "MEERA",
        "middle_name": "VEDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "14969",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD038923",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "133964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEERA",
            "last_name": "SREENIVASAN-OUK",
            "middle_name": "VEDA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.