Active NPI
Sridhar Jatla, MD
- Sleep Medicine (Psychiatry & Neurology) Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 01063214A
- Practice address
- 2330 S Dixon Rd Ste 325
Kokomo, IN 46902-6430 - Phone
- (765) 455-8822
- Fax
- (765) 865-3935
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01063214A | IN | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 01063214A | IN | Primary |
Addresses
Primary practice location
2330 S Dixon Rd Ste 325
Kokomo, IN 46902-6430
Mailing address
6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 849-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200903530 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referrals@jwmn.gwaydirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Jefferson Medical College of Thomas Jefferson University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12188 A N Meridian St
Suite 320
Carmel, IN 46032-4407
Phone (317) 580-0420
411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349
Hospital & facility affiliations
- Schneck Medical Center
- Ascension St Vincent Kokomo
- Marion General Hospital
- Community Hospital North
- Community Howard Regional Health Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.89 of 100
- Promoting interoperability
- 56
- Improvement activities
- 40
- Cost
- 76.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- Quality
- 85.1
- Promoting interoperability
- 94.69
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063214A | IN | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Josephson-Wallack-Munshower Neurology PC | Current | Accepting new patients | |
| Jackson County Schneck Memorial Hospital | Current | Accepting new patients | |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Josephson-Wallack-Munshower Neurology PC | Past | Accepting new patients |
Locations
12188A N Meridian St
Ste 320
Carmel, IN 46032
Phone (317) 580-0420
6983 Hillsdale Ct
Indianapolis, IN 46250
7250 Clearvista Dr
Ste 225
Indianapolis, IN 46256
Phone (317) 537-6088
1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555
2330 S Dixon Rd
Ste 325
Kokomo, IN 46902
Phone (765) 455-8822
2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400
330 N Wabash Ave
Ste 470
Marion, IN 46952
Phone (765) 455-8822
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753
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.
-
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
-
- Neurology Physician
- Indianapolis, IN
- NPI 1740377803
-
- Neurology Physician
- Indianapolis, IN
- NPI 1538119219
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1891704565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6983 HILLSDALE CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502054",
"telephone_number": "317-849-8350",
"fax_number": "317-576-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 S DIXON RD STE 325",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469026430",
"telephone_number": "765-455-8822",
"fax_number": "765-865-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATLA",
"first_name": "SRIDHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01063214A",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "IN",
"license": "01063214A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200903530",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referrals@jwmn.gwaydirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2330 S Dixon Rd",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469026411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.