Sriram Rangarajan, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Lake Mary, Florida. His current practice location is
4106 W Lake Mary Blvd Ste 213, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 422-3790.
Sriram Rangarajan is licensed to practice in Florida (license number ME170321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063814861.
Physician's Profile
Full Name | Sriram Rangarajan |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 4106 W Lake Mary Blvd Ste 213, Lake Mary, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063814861
- Provider Enumeration Date: 09/23/2014
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082023361
- Enrollment ID: I20220418001069
Medical Identifiers
Medical identifiers for Sriram Rangarajan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063814861 | NPI | - | NPPES |
123854300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036166978 (Illinois) | Secondary |
208C00000X | Colon & Rectal Surgery | 036166978 (Illinois) | Secondary |
208C00000X | Colon & Rectal Surgery | ME170321 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sriram Rangarajan allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sriram Rangarajan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sriram Rangarajan, MD 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746-2403 Ph: (407) 422-3790 | Sriram Rangarajan, MD 4106 W Lake Mary Blvd Ste 213, Lake Mary, FL 32746-2403 Ph: (407) 422-3790 |
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