Srinivasan Periyanayagam, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

24512 Issued in KY

Practice address

390 W 17TH St
Hopkinsville, KY 42240-1914

Phone

(270) 886-1944

Fax

(270) 886-2372

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Physical Therapy Associates Inc

  • Physical Therapist
  • Mt Washington, KY
  • NPI 1902770530
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932201290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W 17TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401914",
            "telephone_number": "270-886-1944",
            "fax_number": "270-886-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W 17TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401914",
            "telephone_number": "270-886-1944",
            "fax_number": "270-886-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIYANAYAGAM",
        "first_name": "SRINIVASAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "24512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64245129",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennyroyal Healthcare Services, Inc.
• Pennyroyal Hospice, Inc.
• Pennyroyal Services
• Holly Michelle Perez-Knight
• Francisco A Perez, RN
• Candice Perkins, FNP-BC
• Don L Perkins, MD
• Mitzi Nichols Perkins, RPH
• Carrie Jenkins Perry, P.T.
• Erin Perry

• Neurological Surgery Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Neurological Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.