Individual provider Active NPI

Srinivasan Muthukrishnan

  • Transplant Surgery Physician
  • Baltimore, MD
National Provider Identifier
1801583125
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
D0104945 Issued in MD
Practice address
16 S Eutaw St
Baltimore, MD 21201-1606
Phone
(667) 214-1718
Fax
(410) 328-6343
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X D0104945 MD Primary

Addresses

Primary practice location

16 S Eutaw St
Baltimore, MD 21201-1606

Mailing address

PO Box 64226
Baltimore, MD 21264-4226
Phone (667) 214-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20251024004317 MD Practitioner - General Surgery 9234627720 Reassigns benefits to 1 organization
I20260114003878 DC Practitioner - General Practice 9234627720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Surgical Associates PAGroup PAC ID 1658262472, 98 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5191

901 N Harry S Truman Dr
2ND Floor Obs Unit
Largo, MD 20774-5477
Phone (667) 214-1718

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0104945MDMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Surgical Associates, PA CurrentSince Sep 26, 2025 Accepting new patients
Montgomery Brain and Spine LLC Past Accepting new patients
University of Maryland Surgcial Assoc PA Past Accepting new patients

Locations

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300

16 S Eutaw St
Fl 4
Baltimore, MD 21201
Phone (410) 328-1230

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

901 Harry S Truman Dr N
Fl Obs
Largo, MD 20774

Interoperability endpoints

  • Direct secure messaging: smuthukrishnan1028304@direct.umm.edu

Organizations & group practices 3

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1801583125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644226",
            "telephone_number": "667-214-1734",
            "fax_number": "410-706-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "667-214-1718",
            "fax_number": "410-328-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUKRISHNAN",
        "first_name": "SRINIVASAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MD",
            "license": "D0104945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.