Sowmya Sreekanth, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

81307 Issued in NY

Practice address

124 Hutchinson Blvd
Mount Vernon, NY 10552-2510

Phone

(917) 232-0142

NPI assigned

May 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Care4Life Inc

  • Internal Medicine Physician
  • Mount Vernon, NY
  • NPI 1144098534
  NPD Authorized official

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

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1679194468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HUTCHINSON BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HUTCHINSON BLVD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522510",
            "telephone_number": "917-232-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREEKANTH",
        "first_name": "SOWMYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "81307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIAN MEDICAL COUNCIL",
            "identifier": "IMR81307",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sos7004@nyp.org",
            "affiliation": "N",
            "address_1": "124 Hutchinson Blvd",
            "city": "Mount Vernon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105522510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• SP Womens Health NP Services PLLC
• Alaisia Spence
• Rosalyn Dorothy Spence
• Yvonne Spencer
• Robert Spiel
• St. Theresa's Residence
• Kimberly Stanley, RN
• Susan Marie Stanton, LMSW, CSSWS,
• Statewwide Ambulette Ser., Inc.
• Ariel Stein, D.M.D

• Surgery Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.