DR. MIRRA SRINIVASAN MD
NPI 1902555915
Internal Medicine in Jonesboro, AR

Q: What is Mirra Srinivasan's NPI number?

The NPI number for Mirra Srinivasan is 1902555915. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Q: What is Mirra Srinivasan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mirra Srinivasan was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 18, 2022PECOS Enrolled

225 E WASHINGTON AVE, JONESBORO, AR 72401(870) 207-4100(870) 336-2999 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 13, 2025, Dec 24, 2022 (2 updates tracked since 2022).

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About Dr. Mirra Srinivasan Md NPPES

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

DR. MIRRA SRINIVASAN MD (NPI 1902555915) is an individual internal medicine provider in Jonesboro, Arkansas, licensed in Arkansas (E-18826) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902555915

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MIRRA SRINIVASANCredential: MD

Location Address225 E WASHINGTON AVEJonesboro, AR 72401-3111

Mailing Address225 E Washington AveJonesboro, AR 72401-3111 · (870) 207-4100

Phone(870) 207-4100

Fax(870) 336-2999

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 18, 2022

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1902555915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AR · E-18826

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

225 E WASHINGTON AVE, Jonesboro, AR 72401

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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)

Dr. Mirra Srinivasan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072021815

PECOS Enrollment IDI20250804001824

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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.

MRS. MEGAN RENEE HARRELL CRNA

Nurse Anesthetist, Certified Registered