Active NPI
Srirupa Hari Gopal
- Neonatal-Perinatal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2023043112
- Practice address
- 10313 Harmon Smith Dr
Houston, TX 77025-1950 - Phone
- (615) 877-1774
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2023043112 | MO | Primary |
Addresses
Primary practice location
10313 Harmon Smith Dr
Houston, TX 77025-1950
Mailing address
10313 Harmon Smith Dr
Houston, TX 77025-1950
Phone (615) 877-1774
Other practice location 1
6621 Fannin St
Houston, TX 77030-2358
Phone (832) 826-1309
Other practice location 2
910 Blackford St
Chattanooga, TN 37403-1405
Phone (423) 778-6217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023043112 | MO | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Past | Accepting new patients |
Locations
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Children's Hospital
- Saint Louis, MO
- NPI 1508935891
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1861987349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10313 HARMON SMITH DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251950",
"telephone_number": "615-877-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10313 HARMON SMITH DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251950",
"telephone_number": "615-877-1774"
}
],
"practiceLocations": [
{
"address_1": "6621 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302358",
"country_code": "US",
"telephone_number": "832-826-1309",
"fax_number": "832-825-1386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 Blackford St",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374031405",
"country_code": "US",
"telephone_number": "423-778-6217",
"fax_number": "423-778-6020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARI GOPAL",
"first_name": "SRIRUPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2023043112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.