Individual provider Active NPI

Srinivas Bhadriraju, M.D.

  • Pulmonary Disease Physician
  • Oshkosh, WI
National Provider Identifier
1790796084
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
68296 Issued in WI
Practice address
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone
(920) 303-8700
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X N4947 TX
Pulmonary Disease Physician 207RP1001X 68296 WI Primary

Addresses

Primary practice location

855 N Westhaven Dr
Oshkosh, WI 54904-7668

Mailing address

5501 Cabrera Dr Ste 303
Sugar Land, TX 77479-7264
Phone (281) 456-4040

Other identifiers 3

IdentifierTypeStateIssuer
100067611MedicaidWI
762945OtherTXMEDICARE - CPG
3110116MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WI, IL, WV, KS5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040602000986 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1759363989 Reassigns benefits to 1 organization
I20170727003000 WI Practitioner - Pulmonary Disease 1759363989 Reassigns benefits to 3 organizations
I20190218002018 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1759363989 Reassigns benefits to 1 organization
I20220902002704 WV Practitioner - Critical Care (Intensivists) 1759363989 Reassigns benefits to 1 organization
I20240801003914 KS Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1759363989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group-Fox Valley Wisconsin, IncGroup PAC ID 0244142420, 260 clinicians

Practice addresses (Care Compare)

2700 W 9TH Ave
Oshkosh, WI 54904-7247
Phone (920) 223-2000

Hospital & facility affiliations

  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 11, 2025 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 11, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jan 8, 2018 Accepting new patients
William Newton Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of West Virginia- TCG PLLC CurrentSince Aug 19, 2022 Accepting new patients
Baycare Aurora, LLC CurrentSince Feb 1, 2019 Accepting new patients
William Newton Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jan 8, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Baylor College of Medicine Past Accepting new patients
Ben Hill Physician Services LLC Past Accepting new patients
Greenwood Leflore Hospital PastSince Jan 21, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: sbhadriraju286804@direct.gundersenhealth.org
  • Direct secure messaging: srinivas.bhadriraju.1@18308.direct.athenahealth.com
  • Direct secure messaging: sbhadrir@yourcarecommunity.org
  • Direct secure messaging: sbhadriraju354740@direct.wvuhsdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1790796084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 CABRERA DR STE 303",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797264",
            "telephone_number": "281-456-4040",
            "fax_number": "281-456-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N WESTHAVEN DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047668",
            "telephone_number": "920-303-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHADRIRAJU",
        "first_name": "SRINIVAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N4947",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "68296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100067611",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - CPG",
            "identifier": "762945",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3110116",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.