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SRINIVAS SRIRANGAM OD
NPI 1215821392
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since June 04, 2025PECOS Enrolled
940 BELMONT ST, BROCKTON, MA 02301(508) 583-4500 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Srinivas Srirangam Od NPPES

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

SRINIVAS SRIRANGAM OD (NPI 1215821392) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2025).

NPPES Registry Identity

NPI1215821392
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSRINIVAS SRIRANGAMCredential: OD
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address170 Deerfield Ridge DrMystic, CT 06355-1150 · (860) 326-4492
Phone(508) 583-4500
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2025
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1215821392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
940 BELMONT ST, Brockton, MA 02301
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Other Names 1

Other Name (5)Srini Srirangam

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srinivas Srirangam Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395239362
PECOS Enrollment IDI20251209000528
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
DANIELLE NIXON LCSW
Case Manager/Care Coordinator
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418

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 Srinivas Srirangam's NPI number?

The NPI number for Srinivas Srirangam is 1215821392. It was assigned to this individual provider in the NPPES registry on June 4, 2025. The provider is also known as Srini Srirangam.

Where is Srinivas Srirangam located?

Srinivas Srirangam practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (508) 583-4500.

What is Srinivas Srirangam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Srinivas Srirangam enrolled in Medicare?

Yes. Srinivas Srirangam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Srinivas Srirangam was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.