NPIMap

Individual provider Active NPI

Sriram K Iyer, MD

  • Anesthesiology Physician
  • Ashland, KY
National Provider Identifier
1689722100
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31488 Issued in KY
Practice address
1100 Saint Christopher Dr
Ashland, KY 41101-7055
Phone
(606) 327-4000
Fax
(770) 237-6089
NPI assigned
Jan 8, 2007
Last updated
Oct 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 31488 KY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 31488 KY

Addresses

Primary practice location

1100 Saint Christopher Dr
Ashland, KY 41101-7055

Mailing address

PO Box 29
Ashland, KY 41105-0029
Phone (770) 688-3806

Other identifiers 2

IdentifierTypeStateIssuer
64314883MedicaidKY
050053314OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050721000233 KY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3173420601 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medcial Specialties Inc CurrentSince May 9, 2022 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jun 29, 2020 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 9, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
St Claire Medical Center, Inc., Anesthesiology Current Accepting new patients
St. Claire Medical Center Inc. Anesthesiology CurrentSince Jun 29, 2020 Accepting new patients
Tri-State Anesthesiology, PSC Anesthesiology Past Accepting new patients
Our Lady of Bellefonte Hospital, Inc. Past Accepting new patients
Eastern Kentucky Anesthesiologist Associates, PLLC Anesthesiology Past Accepting new patients

Locations

1000 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 833-2273

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1689722100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050029",
            "telephone_number": "770-688-3806",
            "fax_number": "770-237-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017055",
            "telephone_number": "606-327-4000",
            "fax_number": "770-237-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYER",
        "first_name": "SRIRAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "31488",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "31488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64314883",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050053314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.