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DR. INDRA SRIRAM M.D.
NPI 1790781938
Internal Medicine - Adolescent Medicine in Columbia, SC

Active since June 22, 2005PECOS Enrolled
168 CAROLINA RIDGE DR, COLUMBIA, SC 29229(260) 602-4645 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Indra Sriram M.d. NPPES

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

DR. INDRA SRIRAM M.D. (NPI 1790781938) is an individual adolescent medicine provider in Columbia, South Carolina, licensed in South Carolina (MMD.36130 MD) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790781938
Entity TypeIndividualFemale
Primary Taxonomy207RA0000X
Provider Legal NameDR. INDRA SRIRAMCredential: M.D.
Location Address168 CAROLINA RIDGE DRColumbia, SC 29229-7396
Mailing Address168 Carolina Ridge DrColumbia, SC 29229-7396 · (260) 602-4645
Phone(260) 602-4645
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 10, 2014
✔ NPI 1790781938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Licenses✔ Licensed in SC · MMD.36130 MD✔ Licensed in IN · 01040404
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 01040404 (IN)
168 CAROLINA RIDGE DR, Columbia, SC 29229
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Other Names 1

Other Name (5)Indrambikai Sriram M.d.

Other Identifiers 3

Medicare UPINF38172IN
Medicare PIN139010IN
Medicaid100439910IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Indra Sriram M.d. 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 Indra Sriram's NPI number?

The NPI number for Indra Sriram is 1790781938. It was assigned to this individual provider in the NPPES registry on June 22, 2005. The provider is also known as Indrambikai Sriram M.D..

Where is Indra Sriram located?

Indra Sriram practices at 168 Carolina Ridge Dr, Columbia, SC 29229. The listed phone number is (260) 602-4645.

What is Indra Sriram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Indra Sriram enrolled in Medicare?

Yes. Indra Sriram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Indra Sriram was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.