Venkatesh Srinivasa, MD | NPI 1912009366

Key facts

NPI: 1912009366
Entity type: Individual (NPI type 1)
Primary specialty: Critical Care Medicine (Anesthesiology) Physician 207LC0200X
License: 214931 (MA)
Practice address: 1400 VFW Pkwy
West Roxbury, MA 02132-4927
Phone: (617) 323-7700
NPI assigned: Sep 5, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 6

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.

Boston Vamc Department of Veterans Affairs (VA) Pharmacy · West Roxbury, MA · NPI 1023066529

NPD (past)
Boston Vamc Department of Veterans Affairs (VA) Pharmacy · Boston, MA · NPI 1215995410

NPD (past)
Boston Vamc Department of Veterans Affairs (VA) Pharmacy · Boston, MA · NPI 1326006461

NPD (past)
Boston Vamc Department of Veterans Affairs (VA) Pharmacy · Brockton, MA · NPI 1447218896

NPD (past)
Boston Vamc General Acute Care Hospital · West Roxbury, MA · NPI 1508815549

NPD (past)
Boston Vamc Department of Veterans Affairs (VA) Pharmacy · Lowell, MA · NPI 1811945819

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
214931	MA	MD	Critical Care Medicine (Anesthesiology) Physician

Practice roles

Organization	Status	New patients
Boston Vamc	Past	Accepting new patients
Boston Vamc	Past	Accepting new patients
Boston Vamc	Past	Accepting new patients
Boston Vamc	Past	Accepting new patients
Boston Vamc	Past	Accepting new patients
Boston Vamc	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Critical Care Medicine (Anesthesiology) Physician	207LC0200X	214931	MA	Yes

Addresses

Primary practice location

1400 VFW Pkwy
West Roxbury, MA 02132-4927

Mailing address

1400 VFW Pkwy
West Roxbury, MA 02132-4927
Phone (617) 323-7700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2007.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1912009366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASA",
        "first_name": "VENKATESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MA",
            "license": "214931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

All providers in West Roxbury, MA · Critical Care Medicine (Anesthesiology) Physician in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.