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

Active since June 04, 2025PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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
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

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

Other Names 1

Other Name (5)Srini Srirangam

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Srinivas Srirangam Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Srinivas Srirangam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
870 PROVIDENCE HWY
Dedham, MA 02026
  • Reassigned Medicare billing, Massachusetts enrollment
  • 16 clinicians in this Medicare group
Ophthalmology
400 HIGHLAND AVE, SUITE 20
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 12 clinicians in this Medicare group

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

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.

Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Psychiatry & Neurology (Psychiatry)
940 BELMONT ST
BROCKTON, MA 02301

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Srinivas Srirangam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srinivas Srirangam reassigns Medicare benefits to 2 organizations: Lickteig Family Eyecare PC (Dedham, MA) and Eye Center Of The North Shore, LLC (Salem, MA). Each 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 Srinivas Srirangam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Srinivas Srirangam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Srinivas Srirangam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 16 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.