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ETHAN SAMUEL SRINIVASAN
NPI 1497404727
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 23, 2022PECOS Enrolled
1800 ORLEANS ST DEPARTMENT OF NEUROSURGERY, ZAYED TOWER, MAILSTOP 6007, BALTIMORE, MD 21287(443) 286-3549 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Samuel Srinivasan NPPES

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

ETHAN SAMUEL SRINIVASAN (NPI 1497404727) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497404727
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN SAMUEL SRINIVASAN
Location Address1800 ORLEANS ST DEPARTMENT OF NEUROSURGERY, ZAYED TOWER, MAILSTOP 6007Baltimore, MD 21287-0010
Mailing Address1800 Orleans St Department Of Neurosurgery, Zayed Tower, Mailstop 6007Baltimore, MD 21287-0010 · (443) 286-3549
Phone(443) 286-3549
Sole ProprietorNo
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1497404727 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.
1800 ORLEANS ST DEPARTMENT OF NEUROSURGERY, Baltimore, MD 21287
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Samuel Srinivasan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Ethan Srinivasan's NPI number?

The NPI number for Ethan Srinivasan is 1497404727. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Ethan Srinivasan located?

Ethan Srinivasan practices at 1800 Orleans St Department Of Neurosurgery Zayed Tower, Mailstop 6007, Baltimore, MD 21287. The listed phone number is (443) 286-3549.

What is Ethan Srinivasan's specialty?

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

Is Ethan Srinivasan enrolled in Medicare?

Yes. Ethan Srinivasan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Srinivasan was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.