Srisai Gowda, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA065533 Issued in NJ

Practice address

#2106, New Road
D-8
Linwood, NJ 08221

Phone

(609) 927-1030

Fax

(609) 927-9985

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Srisai Gowda MD LLCGroup PAC ID 2466423678, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.73 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

25.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Srisai Gowda MD LLC

  • Psychiatry Physician
  • Linwood, NJ
  • NPI 1245361583
  Medicare reassignment Care Compare group NPD Authorized official
• Shore Memorial Hospital

  • Hematology & Oncology Physician
  • Somers Point, NJ
  • NPI 1689795338
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1801995352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#2106, NEW ROAD",
            "address_2": "D-8",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-927-1030",
            "fax_number": "609-927-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2106, NEW ROAD",
            "address_2": "D-8",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-927-1030",
            "fax_number": "609-927-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "SRISAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA065533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7375204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura M Goellner, OT
• Diane Goldblum-Graff, MSN, APN, BC
• Paige Golden, DPT
• Jessica Ellen Goldstein, OT
• Ronald C Gove, M.D.
• Lauren Grassi, LCSW
• Virginia Graziani, MD
• Siobhan Grossman
• Sara Liliana Gualtieri, MD
• Lee Ann Ann Guenther

• Psychiatry Physician in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.