Individual provider Active NPI

Shraddha Srivastava

  • Family Medicine Physician
  • Franklin, OH
National Provider Identifier
1801424643
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.016554 Issued in OH
Practice address
5275 Oh-122
Franklin, OH 45005
Phone
(513) 424-7291
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2025042916 MO
Family Medicine Physician 207Q00000X 34.016554 OH Primary

Addresses

Primary practice location

5275 Oh-122
Franklin, OH 45005

Mailing address

5275 Oh 122
Ste 100
Franklin, OH 45005

Other practice location 1

2511 W Edgewood Dr Ste G
Jefferson City, MO 65109-5869
Phone (573) 761-0458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MO2 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
I20231012003541 OH Practitioner - Family Practice 2769880996 Reassigns benefits to 1 organization
I20251028002232 MO Practitioner - Family Practice 2769880996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, shared by 5 NPIs, 243 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians

Practice addresses (Care Compare)

1605 E Broadway
Suite 110
Columbia, MO 65201-8023
Phone (573) 815-8130

2511 W Edgewood Dr G
SSM Health Med GRP Fam Medicine
Jefferson City, MO 65109-5869
Phone (573) 761-0458

Hospital & facility affiliations

  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025042916MOMDFamily Medicine Physician
34.016554OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Sep 11, 2023 Accepting new patients
Mvhe Inc Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
SSM Regional Health Services Family Medicine CurrentSince Dec 8, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Dec 8, 2025 Accepting new patients
SSM Regional Health Services Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

2511 W Edgewood Dr
Ste G
Jefferson City, MO 65109
Phone (573) 761-0458

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

5275 State Route 122
Ste 100
Franklin, OH 45005
Phone (513) 424-7291

Interoperability endpoints

  • Direct secure messaging: ssrivastava563967@direct-ehr-ssmhc.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1801424643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 OH 122",
            "address_2": "STE 100",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "45005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 OH-122",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "45005",
            "telephone_number": "513-424-7291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 W Edgewood Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651095869",
            "country_code": "US",
            "telephone_number": "573-761-0458",
            "fax_number": "573-761-6957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SHRADDHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2025042916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, OH

Sources for this page

Verify at the official NPI Registry.