SRI MEDICAL CENTER, INC
NPI 1124594809
Internal Medicine in Maplewood, NJ

Q: What is Sri Medical Center, Inc's NPI number?

The NPI number for Sri Medical Center, Inc is 1124594809. It was assigned to this organization in the NPPES registry on October 19, 2018.

Q: What is Sri Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 19, 2018

2115 MILLBURN AVE, MAPLEWOOD, NJ 07040(973) 275-0570(973) 900-8453 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2019, Oct 22, 2018, Oct 19, 2018 (3 updates tracked since 2018).

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About Sri Medical Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRI MEDICAL CENTER, INC (NPI 1124594809) is a healthcare organization registered as an internal medicine in Maplewood, New Jersey and active in the NPI registry since October 2018. The organization lists Shailender Karry Mohanrao, M.d., as its authorized official.

NPPES Registry Identity

NPI1124594809

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSRI MEDICAL CENTER, INC

Location Address2115 MILLBURN AVEMaplewood, NJ 07040-3724

Mailing AddressPo Box 4577Metuchen, NJ 08840-4577 · (973) 275-0570 · Fax (973) 900-8453

Phone(973) 275-0570

Fax(973) 900-8453

Organization SubpartNo

Authorized OfficialShailender Karry MohanraoM.d. · (732) 829-8476

Enumeration DateOctober 19, 2018

Last NPPES UpdateJune 5, 20193 updates tracked since enumeration

✔ NPI 1124594809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2115 MILLBURN AVE, Maplewood, NJ 07040

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Other Identifiers 1

Medicaid0155641NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sri Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sri Medical Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shailender Karry Mohanrao, MD

Internal Medicine

NPI 1093745077

2115 MILLBURN AVE SUITE L2
Maplewood, NJ 07040

(973) 275-1322

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sri Medical Center, Inc's NPI number?

The NPI number for Sri Medical Center, Inc is 1124594809. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Sri Medical Center, Inc located?

Sri Medical Center, Inc is located at 2115 Millburn Ave, Maplewood, NJ 07040. The listed phone number is (973) 275-0570.

What is Sri Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sri Medical Center, Inc enrolled in Medicare?

Yes. Sri Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sri Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sri Medical Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sri Medical Center, Inc was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.