NPIMap

Individual provider Active NPI

Sreeram Duriseti, M.D., PH.D.

  • Emergency Medicine Physician
  • Burlingame, CA
National Provider Identifier
1659301646
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A65651 Issued in CA
Practice address
1783 El Camino Real
Burlingame, CA 94010-3205
Phone
(650) 696-5500
Fax
(650) 696-5378
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A65651 CA Primary

Addresses

Primary practice location

1783 El Camino Real
Burlingame, CA 94010-3205

Mailing address

701 Welch Rd
Suite C
Palo Alto, CA 94304-1709
Phone (650) 725-9445

Other identifiers 1

IdentifierTypeStateIssuer
00A656510MedicaidCA

Other names 1

  • Dr. Ram Sree Duriseti Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000003 CA Practitioner - Emergency Medicine 9234291204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Redwood Medical Group IncGroup PAC ID 5496652703, 58 clinicians

Practice addresses (Care Compare)

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65651CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Redwood Medical Group Inc Emergency Medicine CurrentSince Feb 15, 2025 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 1, 2002 Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 1, 2002 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Emergency Medicine Past Accepting new patients

Locations

1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Interoperability endpoints

  • Direct secure messaging: rduriseti45911@hisp.ehr.sutterhealth.org

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1659301646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WELCH RD",
            "address_2": "SUITE C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041709",
            "telephone_number": "650-725-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103205",
            "telephone_number": "650-696-5500",
            "fax_number": "650-696-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURISETI",
        "first_name": "SREERAM",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A65651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A656510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAM",
            "last_name": "DURISETI",
            "middle_name": "SREE",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.