Individual provider Active NPI

Sriram Perni, MD

  • Maternal & Fetal Medicine Physician
  • Brooksville, FL
National Provider Identifier
1790880177
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME168708 Issued in FL
Practice address
11371 Cortez Blvd Ste 101
Brooksville, FL 34613-5408
Phone
(352) 663-9510
Fax
(352) 251-0226
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 35086214 OH
Maternal & Fetal Medicine Physician 207VM0101X ME168708 FL Primary

Addresses

Primary practice location

11371 Cortez Blvd Ste 101
Brooksville, FL 34613-5408

Mailing address

11371 Cortez Blvd Ste 101
Brooksville, FL 34613-5408
Phone (352) 663-9510

Other identifiers 2

IdentifierTypeStateIssuer
2592716MedicaidOH
122937400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051207000487 OH Practitioner - Obstetrics/Gynecology 7719908615 Reassigns benefits to 4 organizations
I20240806001934 FL Practitioner - Obstetrics/Gynecology 7719908615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35086214OHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians - North, LLC CurrentSince Jul 1, 2009 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 20, 2019 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jul 1, 2009 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown, LLC CurrentSince Dec 20, 2019 Accepting new patients
Mercy Health System Northern Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

2213 Cherry St
Ste 309
Toledo, OH 43608
Phone (419) 251-4364

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2213 Cherry St
Ste Acc
Toledo, OH 43608
Phone (419) 251-3704

2213 Cherry St
#309
Toledo, OH 43608
Phone (419) 251-4364

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

627 Eastland Ave SE
Ste 202
Warren, OH 44484
Phone (330) 306-5004

8423 Market St
Ste 100
Youngstown, OH 44512
Phone (330) 707-5864

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8423 Market St
Ste 207
Youngstown, OH 44512
Phone (330) 729-7901

8423 Market St
Youngstown, OH 44512
Phone (330) 793-7966

Interoperability endpoints

  • Direct secure messaging: sperni27061@direct.bsmhealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1790880177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11371 CORTEZ BLVD STE 101",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135408",
            "telephone_number": "352-663-9510",
            "fax_number": "352-251-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11371 CORTEZ BLVD STE 101",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135408",
            "telephone_number": "352-663-9510",
            "fax_number": "352-251-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNI",
        "first_name": "SRIRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35086214",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME168708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592716",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122937400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.