SREENANDH KRISHNAGOPALAN (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1619924636

SREENANDH KRISHNAGOPALAN (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD10641 (HI). The NPI Number for SREENANDH KRISHNAGOPALAN (M.D.) is 1619924636

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
SREENANDH KRISHNAGOPALAN (M.D.)
NPI
1619924636
Phone
(808) 432-0000
Address
3288 MOANALUA RD
Enumeration Date
27 May 2006
Last Update Date
7 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8084320000
Graduation Year
1996 (30 years ago)
PAC ID
8628038098
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20041012000461
Address ID
HI968191469HO3288XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

88 CRITICAL CARE (INTENSIVISTS) in HI

Provider Addresses for SREENANDH KRISHNAGOPALAN (M.D.)

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    Type: Location

  • Shokudo, 1585, Kapiolani Boulevard, Ala Moana, Honolulu, Honolulu County, Hawaii, 96841, United States

    SUITE 1800

    HONOLULU, HI 968144522

    Phone: (808) 941-3363

    Fax: (808) 949-0483

    Type: Mailing

  • 2230, Liliha Street, Liliha, Honolulu, Honolulu County, Hawaii, 96817, United States

    CRITICAL CARE DEPT

    HONOLULU, HI 968171646

    Phone: (808) 753-4590

    Fax: (808) 949-0483

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: ABIOMED ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$28
View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-12

PECOS data refreshed: 2026-05-27

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
I20041012000461ICritical Care (Intensivists)HITBD

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 96819)

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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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

How do payers reference SREENANDH KRISHNAGOPALAN (M.D.)?
For SREENANDH KRISHNAGOPALAN (M.D.), use NPI 1619924636 as the unique 10-digit identifier.
Active or inactive — what applies to SREENANDH KRISHNAGOPALAN (M.D.)?
You should see SREENANDH KRISHNAGOPALAN (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for SREENANDH KRISHNAGOPALAN (M.D.)?
At a glance, SREENANDH KRISHNAGOPALAN (M.D.) is tied to Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SREENANDH KRISHNAGOPALAN (M.D.)?
Directory geography for SREENANDH KRISHNAGOPALAN (M.D.) centers on Honolulu, Hawaii.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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