Individual provider Active NPI

Ranganatha Rao Sriram, MD

  • Interventional Cardiology Physician
  • Kenosha, WI
National Provider Identifier
1972512895
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
32062 Issued in WI
Practice address
6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Phone
(262) 359-1652
Fax
(262) 764-7577
NPI assigned
Aug 7, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 32062 WI
Interventional Cardiology Physician 207RI0011X 32062 WI Primary

Addresses

Primary practice location

6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931

Mailing address

3664 Fenceline Rd
Franksville, WI 53126-9419
Phone (262) 902-3660

Other practice location 1

3803 Spring St
Suite 410
Racine, WI 53405-1660
Phone (262) 687-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20040323001010 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698666204 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zenith Healthcare SCGroup PAC ID 3476774001, 13 clinicians

Practice addresses (Care Compare)

6121 Green Bay Rd
Suite 100
Kenosha, WI 53142-2931
Phone (262) 359-1652

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32062WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Healthcare SC Cardiovascular Disease CurrentSince Feb 11, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Fort Healthcare Inc CurrentSince Jun 19, 2023 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Madison Medical Affiliates, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Stoughton Hospital Association CurrentSince Jan 25, 2026 Accepting new patients
Stoughton Hospital Association CurrentSince Jul 23, 2025 Accepting new patients
Phoenixc Healthcare, SC CurrentSince Feb 11, 2022 Accepting new patients
Stoughton Hospital Association CurrentSince Jul 23, 2025 Accepting new patients
Visiting Nurse Association of Wisconsin, Inc. Cardiovascular Disease Past Accepting new patients
Comprehensive Cardiovascular Care, LLP Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates of Wisconsin, LLP Cardiovascular Disease Past Accepting new patients

Locations

28063 Network Pl
Chicago, IL 60673

500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

3203 80th St
Ste C
Kenosha, WI 53142

6121 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 945-7557

6121 Green Bay Rd
Ste 150
Kenosha, WI 53142
Phone (262) 553-6400

7550 22nd Ave
Kenosha, WI 53143
Phone (262) 658-2500

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2801 W Kinnickinnic River Pkwy
Ste 840
Milwaukee, WI 53215
Phone (414) 649-3776

3803 Spring St
Ste 600
Mount Pleasant, WI 53405
Phone (262) 687-8312

8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000

7137 236th Ave
Salem, WI 53168
Phone (262) 800-4672

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

125 Hospital Dr
Fl 1
Watertown, WI 53098
Phone (920) 262-4449

2424 S 90th St
Ste 212
West Allis, WI 53227
Phone (414) 328-8480

7220 W National Ave
West Allis, WI 53214
Phone (414) 257-8500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: pphongrattana330340@direct.myadvocateaurora.org
  • Direct secure messaging: rsriram553325@direct-ehr-ssmhc.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1972512895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 FENCELINE RD",
            "city": "FRANKSVILLE",
            "state": "WI",
            "postal_code": "531269419",
            "telephone_number": "262-902-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422931",
            "telephone_number": "262-359-1652",
            "fax_number": "262-764-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3803 Spring St",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534051660",
            "country_code": "US",
            "telephone_number": "262-687-8260",
            "fax_number": "262-687-8729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIRAM",
        "first_name": "RANGANATHA",
        "middle_name": "RAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "32062",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "32062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.