DR. PAVAN SREERAMA DO
NPI 1912755950
Student in an Organized Health Care Education/Training Program in Downers Grove, IL

Active since May 06, 2024PECOS Enrolled
555 31ST ST, DOWNERS GROVE, IL 60515(630) 515-7200 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Jul 1, 2025, May 6, 2024 (3 updates tracked since 2024).

About Dr. Pavan Sreerama Do NPPES

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

DR. PAVAN SREERAMA DO (NPI 1912755950) is an individual student in an organized health care education/training program in Downers Grove, Illinois, licensed in Michigan (5151017685) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912755950
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PAVAN SREERAMACredential: DO
Location Address555 31ST STDowners Grove, IL 60515-1235
Mailing Address18001 Iroquois TrceTinley Park, IL 60477-2608 · (708) 653-8783
Sole ProprietorNo
Enumeration DateMay 6, 2024
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1912755950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 5151017685
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.
555 31ST ST, Downers Grove, IL 60515

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. Pavan Sreerama Do 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.

Student in an Organized Health Care Education/Training Program
555 31ST ST
DOWNERS GROVE, IL 60515
Student in an Organized Health Care Education/Training Program
555 31ST ST
DOWNERS GROVE, IL 60515
Student in an Organized Health Care Education/Training Program
555 31ST ST
DOWNERS GROVE, IL 60515
Physician Assistant
555 31ST ST
DOWNERS GROVE, IL 60515
Student in an Organized Health Care Education/Training Program
555 31ST ST
DOWNERS GROVE, IL 60515
Student in an Organized Health Care Education/Training Program
555 31ST ST
DOWNERS GROVE, IL 60515
Student in an Organized Health Care Education/Training Program
555 31ST ST
DOWNERS GROVE, IL 60515
Physician Assistant
555 31ST ST
DOWNERS GROVE, IL 60515

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 Pavan Sreerama's NPI number?

The NPI number for Pavan Sreerama is 1912755950. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Pavan Sreerama located?

Pavan Sreerama practices at 555 31st St, Downers Grove, IL 60515. The listed phone number is (630) 515-7200.

What is Pavan Sreerama's specialty?

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

Is Pavan Sreerama enrolled in Medicare?

Yes. Pavan Sreerama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pavan Sreerama was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.