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MIRA SRIDHARAN MD
NPI 1821848623
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 25, 2024PECOS Enrolled
801 MASSACHUSETTS AVE FL 6, BOSTON, MA 02118(617) 414-5951 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mira Sridharan Md NPPES

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

MIRA SRIDHARAN MD (NPI 1821848623) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821848623
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRA SRIDHARANCredential: MD
Location Address801 MASSACHUSETTS AVE FL 6Boston, MA 02118-2605
Mailing Address801 Massachusetts Ave Fl 6Boston, MA 02118-2605 · (617) 414-5951 · Fax (617) 414-9251
Phone(617) 414-5951
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1821848623 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.
801 MASSACHUSETTS AVE FL 6, Boston, MA 02118
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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)

Mira Sridharan Md 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.

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.

DR. SULEMAN IMRAN KHAN MD
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
ANIRUDH PRABU MD
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
DR. LYNDON P JAMES MBBS
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
GAYATHRI SUNDARAM MD
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
SIMON LEE
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
SONJA KYTOMAA
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
DANIEL WILLIAM CONNELLY
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5951
HEER SINGH HENDRY MD
Student in an Organized Health Care Education/Training Program
801 MASSACHUSETTS AVE FL 6
BOSTON, MA 02118
Suffolk County (925) 984-9215

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 Mira Sridharan's NPI number?

The NPI number for Mira Sridharan is 1821848623. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Mira Sridharan located?

Mira Sridharan practices at 801 Massachusetts Ave Fl 6, Boston, MA 02118. The listed phone number is (617) 414-5951.

What is Mira Sridharan's specialty?

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

Is Mira Sridharan enrolled in Medicare?

Yes. Mira Sridharan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mira Sridharan was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.