Individual provider Active NPI

Lakshmi Sridhar, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Washington, DC
National Provider Identifier
1649632282
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD210011628 Issued in DC
Practice address
111 Michigan Ave NW
Washington, DC 20010-2916
Phone
(888) 884-2327
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA10635000 NJ
Neonatal-Perinatal Medicine Physician 2080N0001X MD210011628 DC Primary

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

425 Massachusetts Ave NW PH 121
Washington, DC 20001-7643

Other practice location 1

97 W Parkway
Pompton Plains, NJ 07444-1647
Phone (973) 831-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, 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
I20191030000367 NJ Practitioner - Pediatric Medicine 1254663933 Reassigns benefits to 3 organizations
I20230831004282 DC Practitioner - Pediatric Medicine 1254663933 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210011628DCMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation CurrentSince Nov 1, 2019 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Sep 11, 2019 Accepting new patients
Children'S Hospital Current Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Nov 1, 2019 Accepting new patients
Children'S Hospital CurrentSince Aug 4, 2023 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Aug 4, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Sep 11, 2019 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1649632282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MASSACHUSETTS AVE NW PH 121",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200017643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "888-884-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 W Parkway",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441647",
            "country_code": "US",
            "telephone_number": "973-831-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIDHAR",
        "first_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10635000",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "DC",
            "license": "MD210011628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.