DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023781697

DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) is a healthcare provider. based in San jose, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-176435 (AL). The NPI Number for DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) is 1023781697

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA)
NPI
1023781697
Phone
Not provided
Address
3545 JASMINE CIR
Enumeration Date
29 July 2021
Last Update Date
2 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6786907808
Graduation Year
2021 (5 years ago)
PAC ID
6305240946
Group Practice PAC ID
5092897025
Professional Enrollment ID
I20210804002660
Address ID
CA945884000PL5555XBLVD500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA)

  • 3545 JASMINE CIR

    SAN JOSE, CA 951352368

    Phone:

    Type: Mailing

  • 500 W HOSPITAL RD

    FRENCH CAMP, CA 952319693

    Phone: (209) 468-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210804002660ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092897025View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YWV
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA)?
DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) — NPI 1023781697 — is the standard way to identify this listing.
Can I rely on DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) being an active provider?
As of the registry snapshot, DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) is marked active.
What healthcare role does DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) hold?
Scheduling teams often label DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) list a practice location?
Patients near San Jose, California may find DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) in results; validate coverage separately.
Is the information about DR. SRINIDHI RAGHAVENDRA VITTAL (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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