SRIDHAR JATLA (MD) – Sleep Medicine (Psychiatry & Neurology) Physician, NPI 1891704565

SRIDHAR JATLA (MD) is a healthcare provider. based in Kokomo, Indiana. specializing in PSYCHIATRY, SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. 01063214A (IN). The NPI Number for SRIDHAR JATLA (MD) is 1891704565

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
SRIDHAR JATLA (MD)
NPI
1891704565
Phone
(765) 455-8822
Address
2330 S DIXON RD STE 325
Enumeration Date
5 August 2006
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8125222349
Graduation Year
2002 (24 years ago)
PAC ID
1658452974
Group Practice PAC ID
8224004585
Professional Enrollment ID
I20081017000321
Address ID
IN472742363SE411XXSTXX430
Telehealth
Yes

Contacts

Secure Messaging
referrals@jwmn.gwaydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

528 PSYCHIATRY in IN

Provider Addresses for SRIDHAR JATLA (MD)

  • 2330 S DIXON RD STE 325

    KOKOMO, IN 469026430

    Phone: (765) 455-8822

    Fax: (765) 865-3935

    Type: Location

  • 6983, Hillsdale Court, Indianapolis, Indiana, 46250, United States

    INDIANAPOLIS, IN 462502054

    Phone: (317) 849-8350

    Fax: (317) 576-6311

    Type: Mailing

  • 2330, South Dixon Road, Greentree, Kokomo, Howard County, Indiana, 46902, United States

    KOKOMO, IN 469026411

    Phone: (765) 455-8822

    Fax: (765) 865-3935

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 186 Open Payments records for all available years, with a total value of $3,187.

Total Amount is formed as General ($3,187) + Research ($0) + Ownership ($0) = $3,187.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($565).

Total Amount

$3,187

General + Research + Ownership

Payments

186

Total payment records

General Amount

$3,187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2008-10-17

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
I20081017000321IPsychiatryINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes722538$0
95810Sleep study in sleep lab (6 years or older)9999$0
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)9694$0
99205New patient office or other outpatient visit, 60-74 minutes8181$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 46902)

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Provider's Procedures

SRIDHAR JATLA (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIN95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube255248

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: 8224004585View full group profile

Reviews

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Frequently asked questions

Can I verify SRIDHAR JATLA (MD) with an NPI only?
You can start verification with NPI 1891704565 for SRIDHAR JATLA (MD), then check state licensing separately.
Is SRIDHAR JATLA (MD) still practicing?
SRIDHAR JATLA (MD) is currently listed as active in the public NPI registry.
What is SRIDHAR JATLA (MD)'s primary classification?
Sleep Medicine (Psychiatry & Neurology) Physician is the headline specialty for SRIDHAR JATLA (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for SRIDHAR JATLA (MD)?
SRIDHAR JATLA (MD)'s geographic hint is Kokomo, Indiana in our summary view.
Is the information about SRIDHAR JATLA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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