Active NPI
Ranganatha Rao Sriram, MD
- Interventional Cardiology Physician
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 32062
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32062 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenith Healthcare SC | Cardiovascular Disease | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Madison Medical Affiliates, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients | |
| Phoenixc Healthcare, SC | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | 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
- https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- pphongrattana330340@direct.myadvocateaurora.org
- 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.
-
- Cardiovascular Disease Physician
- Kenosha, WI
- NPI 1043610280
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Rural Health Clinic/Center
- Fort Atkinson, WI
- NPI 1417450115
-
- General Practice Physician
- Milwaukee, WI
- NPI 1588695746
-
- Clinical Cardiac Electrophysiology Physician
- Kenosha, WI
- NPI 1821591710
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
-
- Medicare Defined Swing Bed Hospital Unit
- Stoughton, WI
- NPI 1891869079
-
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1841286291
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McFarland Urgent Care
- Urgent Care Clinic/Center
- McFarland, WI
- NPI 1477146082
Hospital
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.