Active NPI
Shekar Kikkeri Srinivas, M.D.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 200462
- Practice address
- 230 N Broad St
Dept of Emergency Medicine
Philadelphia, PA 19102-1121 - Phone
- (215) 762-2527
- NPI assigned
- Jun 20, 2011
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 200462 | PA | Primary |
Addresses
Primary practice location
230 N Broad St
Dept of Emergency Medicine
Philadelphia, PA 19102-1121
Mailing address
1516 Lombard St
Apt. 2F
Philadelphia, PA 19146-1667
Phone (973) 820-3288
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111
2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 947-2500
Hospital & facility affiliations
- Washington Hospital
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.6 of 100
- Quality
- 81.55
- Improvement activities
- 0
- Cost
- 75.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200462 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates Overhead Operating Account Dennis Belo | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates Fremont PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates San Jose PC | Emergency Medicine | Current | Accepting new patients |
| San Francisco Physicians International Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Interoperability endpoints
- ssrinivas126029@santaclaravalley.direct-ci.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Fremont, CA
- NPI 1790250967
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1306311576
-
- Emergency Medicine Physician
- San Ramon, CA
- NPI 1841220720
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1013969153
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1649566522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 LOMBARD ST",
"address_2": "APT. 2F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461667",
"telephone_number": "973-820-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINIVAS",
"first_name": "SHEKAR",
"middle_name": "KIKKERI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "200462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.