Pavan Sreerama, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

5151017685 Issued in MI

Practice address

555 31St St
Downers Grove, IL 60515-1235

Phone

(630) 515-7200

NPI assigned

May 6, 2024

Last updated

Feb 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1912755950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 IROQUOIS TRCE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772608",
            "telephone_number": "708-653-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 31ST ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151235",
            "telephone_number": "630-515-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREERAMA",
        "first_name": "PAVAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5151017685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Spethman
• Marc R. Spiller, M.D.
• Norah Springgate, PT
• Hayley Springs, D.O.
• Sprint Diagnostics Inc
• Rajammal Srinivasan, MD, PHD
• SS Medical Services Professional Corporation
• Hani Ssaai
• Ronald E St. Juliana, O.D.
• Lily Stacey

• Student in an Organized Health Care Education/Training Program in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.