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SHRIRAM KRISHNAN SUNDARARAMAN
NPI 1871163592
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 25, 2021PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2024, Jun 25, 2021 (2 updates tracked since 2021).

About Shriram Krishnan Sundararaman NPPES

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

SHRIRAM KRISHNAN SUNDARARAMAN (NPI 1871163592) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (289406) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1871163592
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHRIRAM KRISHNAN SUNDARARAMAN
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address6201 Greenleigh Ave Fl 2Middle River, MD 21220-2004 · (410) 933-2704
Phone(617) 667-7000
Sole ProprietorNo
Enumeration DateJune 25, 2021
Last NPPES UpdateJune 22, 20242 updates tracked since enumeration
NPPES CertifiedJune 22, 2024
✔ NPI 1871163592 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
License✔ Licensed in MA · 289406
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.
330 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-8893

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shriram Krishnan Sundararaman 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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Shriram Sundararaman's NPI number?

The NPI number for Shriram Sundararaman is 1871163592. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Shriram Sundararaman located?

Shriram Sundararaman practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Shriram Sundararaman's specialty?

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

Is Shriram Sundararaman enrolled in Medicare?

Yes. Shriram Sundararaman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shriram Sundararaman was last updated on June 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.