DR. PRASANNA SRIDHARAN MD
NPI 1619237971
Hospitalist in Farmington, ME

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 778-6031 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2025, Sep 16, 2021, Nov 24, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Prasanna Sridharan Md NPPES

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

DR. PRASANNA SRIDHARAN MD (NPI 1619237971) is an individual hospitalist provider in Farmington, Maine, licensed in North Carolina (2018-02972) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619237971
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRASANNA SRIDHARANCredential: MD
Location Address111 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address586 Boulder Point DrChapel Hill, NC 27516-4187 · (908) 227-7581
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 21, 2012
Last NPPES UpdateApril 1, 20255 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1619237971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in NC · 2018-02972✔ Licensed in ME · MD27498
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2018-02972 (NC), D0081736 (MD), 01083665A (IN), MD27498 (ME)
111 FRANKLIN HEALTH CMNS, Farmington, ME 04938

Secondary Practice Locations 2

Location 1586 Boulder Point DrChapel Hill, NC 27516-4187 · Phone (908) 227-7581
Location 2111 Franklin Health CmnsFarmington, ME 04938-6144 · Phone (207) 779-2456 · Fax (207) 779-2496

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

Dr. Prasanna Sridharan Md 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 ID1355647397
PECOS Enrollment IDI20190314000747
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

15

Medicare enrollment records show Prasanna Sridharan reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
General Acute Care Hospital
111 FRANKLIN HEALTH CMNS
Farmington, ME 04938
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
Hospitalist
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 99 clinicians in this Medicare group
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
Internal Medicine
100 HOSPITAL DR
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
General Acute Care Hospital
3500 ARENDELL ST
Morehead City, NC 28557
  • Reassigned Medicare billing, North Carolina enrollment
  • 283 clinicians in this Medicare group
Internal Medicine
1200 N ELM ST, 5TH FLOOR
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 254 clinicians in this Medicare group
Hospitalist
300 W 27TH ST
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 86 clinicians in this Medicare group
Orthopaedic Surgery
701 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
Family Medicine
3605 MOUNT HOLLY HUNTERSVILLE RD, SUITE B
Charlotte, NC 28216
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Ecu Health North Hospital

Acute Care Hospitals · Roanoke Rapids, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340151
Location250 Smith Church RoadRoanoke Rapids, NC 27870 · Halifax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Registered Nurse
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Occupational Therapist (Physical Rehabilitation)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Hospitalist
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Registered Nurse (Emergency)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938

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 Prasanna Sridharan's NPI number?

The NPI number for Prasanna Sridharan is 1619237971. It was assigned to this individual provider in the NPPES registry on May 21, 2012.

Where is Prasanna Sridharan located?

Prasanna Sridharan practices at 111 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 778-6031.

What is Prasanna Sridharan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prasanna Sridharan enrolled in Medicare?

Yes. Prasanna Sridharan 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 Prasanna Sridharan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasanna Sridharan reassigns Medicare benefits to 15 organizations: Mainehealth (Farmington, ME), Hospital Medicine Services Of Maine LLC (Ellsworth, ME), Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC), Novant Medical Group Inc (Louisburg, NC), Vidant Medical Group LLC (Greenville, NC) and 10 more organizations, listed in the Medicare section above. 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 Prasanna Sridharan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasanna Sridharan accept?

Health plans from Cigna Healthcare, HMO Louisiana and Taro Health list Prasanna Sridharan 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.

Is Prasanna Sridharan affiliated with any hospitals?

According to CMS data, Prasanna Sridharan is affiliated with Columbus Regional Healthcare System and Ecu Health North Hospital.

When was this NPI record last updated?

The NPPES record for Prasanna Sridharan was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.