Individual provider Active NPI

Sriram Padmanabhan, M.D.

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1649265034
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0061413 Issued in MD
Practice address
9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3930
Phone
(410) 602-9262
Fax
(410) 602-9276
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0061413 MD Primary
Nuclear Cardiology Physician 207UN0901X D0061413 MD

Addresses

Primary practice location

9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3930

Mailing address

1838 Greene Tree Rd
Suite 150- LL
Baltimore, MD 21208-6391
Phone (410) 602-9262

Other identifiers 1

IdentifierTypeStateIssuer
408067000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050801000866 MD Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 9436187366 Reassigns benefits to 3 organizations
I20230824000824 DC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9436187366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3958
Phone (410) 554-6550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061413MDMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Mar 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2016 Accepting new patients
Baltimore Ultrasound Services,Inc CurrentSince Sep 1, 2005 Accepting new patients
Medstar Medical Group Radiology, LLC CurrentSince Aug 7, 2018 Accepting new patients
Midatlantic Cardiovascular Associates PA Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3333 N Calvert St
Ste 500
Baltimore, MD 21218
Phone (410) 366-5600

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

3333 N Calvert St
Ste Ll
Baltimore, MD 21218
Phone (410) 235-7113

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

110 Thomas Johnson Dr
Frederick, MD 21702
Phone (202) 877-7685

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

1838 Greene Tree Rd
Ste 150LL
Pikesville, MD 21208
Phone (410) 602-9262

1838 Greene Tree Rd
Ste 535
Pikesville, MD 21208
Phone (410) 469-4937

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330

9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330

Organizations & group practices 7

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 3

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1649265034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 150- LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-9262",
            "fax_number": "410-602-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR",
            "address_2": "SUITE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373930",
            "telephone_number": "410-602-9262",
            "fax_number": "410-602-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANABHAN",
        "first_name": "SRIRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0061413",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MD",
            "license": "D0061413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408067000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.