Active NPI
Rajagopal Srinivasan, M.D., PH.D.
- Emergency Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4977
- Practice address
- 981150 Nebraska Medical Ctr
Section of Emergency Medicine Academic Offices
Omaha, NE 68198-1150 - Phone
- (404) 559-6802
- Fax
- (402) 559-9659
- NPI assigned
- Apr 11, 2007
- 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 | 4977 | NE | Primary |
Addresses
Primary practice location
981150 Nebraska Medical Ctr
Section of Emergency Medicine Academic Offices
Omaha, NE 68198-1150
Mailing address
110 S Paca St
Department of Emergency Medicine 6TH Floor Suite 200
Baltimore, MD 21201-1642
Phone (410) 328-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4977 | NE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chester River Health Center | Current | Accepting new patients | |
| Chester River Hospital Center | Emergency Medicine | Current | Accepting new patients |
| Chester River Hospital Center | Current | Accepting new patients | |
| Upper Chesapeake Emergency Medicine Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| University of Maryland Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Conemaugh Valley Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| Unmc | Past | Accepting new patients |
Locations
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185
827 Linden Ave
Fl 1
Baltimore, MD 21201
Phone (410) 225-8780
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128
300 Byrn St
Cambridge, MD 21613
Phone (410) 228-5511
100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300
219 S Washington St
Easton, MD 21601
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.
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
-
- Clinic/Center
- Chestertown, MD
- NPI 1114290293
-
- Emergency Medicine Physician
- Chestertown, MD
- NPI 1053491795
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1962625772
-
- Emergency Medicine Physician
- Johnstown, PA
- NPI 1346200920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1669695946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE 6TH FLOOR SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-8025",
"fax_number": "410-328-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981150 NEBRASKA MEDICAL CTR",
"address_2": "SECTION OF EMERGENCY MEDICINE ACADEMIC OFFICES",
"city": "OMAHA",
"state": "NE",
"postal_code": "681981150",
"telephone_number": "404-559-6802",
"fax_number": "402-559-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINIVASAN",
"first_name": "RAJAGOPAL",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "4977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.