Reeme Koppulli Sreedharan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS038743 Issued in PA

Practice address

351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438

Phone

(610) 326-9460

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: reeme.sreedharan.p1@direct.chdc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Community Health and Dental Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Pottstown, PA
  • NPI 1295994341
  Medicare reassignment NPD
• Community Health and Dental Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Boyertown, PA
  • NPI 1548034663
  NPD

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1912294315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 APPLE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193413140",
            "telephone_number": "484-467-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE G-15A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657438",
            "telephone_number": "610-326-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 Franks Rd",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190064216",
            "country_code": "US",
            "telephone_number": "484-467-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SREEDHARAN",
        "first_name": "REEME",
        "middle_name": "KOPPULLI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springer Wellness LLC (Pottstown Chiropractic)
• Ryan Springer
• Springfield Eye Associates, PC
• Craig Sproul, PHARM D
• Nicole M. Squitiere, NCC, LPC
• Ssalem Home Care Services (Memorial Hospice)
• Megan O'Leary Stabinski
• Nichole Renee Stadelmaier, CRNP
• Kashmira Naomi Stancick
• Michele Marie Stanley

• Dentist in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.

Verify at the official NPI Registry.