RASHMI SRIDHARA D.O.
NPI 1639529613
Internal Medicine in Warren, MI
About Rashmi Sridhara D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RASHMI SRIDHARA D.O. (NPI 1639529613) is an individual internal medicine provider in Warren, Michigan, licensed in Michigan (5101022744) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2016).
NPPES Registry Identity
Specialties & Licenses
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
Rashmi Sridhara D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Rashmi Sridhara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WARREN, MI 48093
WARREN, MI 48093
WARREN, MI 48093
WARREN, MI 48093
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 Rashmi Sridhara's NPI number?
The NPI number for Rashmi Sridhara is 1639529613. It was assigned to this individual provider in the NPPES registry on June 21, 2016.
Where is Rashmi Sridhara located?
Rashmi Sridhara practices at 11885 E 12 Mile Rd Ste 300A, Warren, MI 48093. The listed phone number is (586) 582-6630.
What is Rashmi Sridhara's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Rashmi Sridhara enrolled in Medicare?
Yes. Rashmi Sridhara 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 organization bills Medicare for Rashmi Sridhara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rashmi Sridhara reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Rashmi Sridhara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rashmi Sridhara was last updated on February 11, 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.
# Rashmi Sridhara, D.O. · NPI 1639529613
Internal Medicine physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since June 21, 2016.
## Identity
- **NPI:** 1639529613 (Entity type: Individual)
- **Enumerated:** June 21, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101022744 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11885 E 12 MILE RD STE 300A, Warren, MI 48093-3467
- **Phone:** (586) 582-6630 · **Fax:** (586) 582-6631
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2016
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1639529613) · Data from the CMS NPPES public registry.