CHANNARAYAPATNA R. SRIDHARA (MD) – Physical Medicine & Rehabilitation Physician, NPI 1407800022

CHANNARAYAPATNA R. SRIDHARA (MD) is a healthcare provider. based in Elkins park, Pennsylvania. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. MD037374L (PA). The NPI Number for CHANNARAYAPATNA R. SRIDHARA (MD) is 1407800022

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
CHANNARAYAPATNA R. SRIDHARA (MD)
NPI
1407800022
Phone
(215) 663-6677
Address
60 TOWNSHIP LINE RD
Enumeration Date
19 May 2006
Last Update Date
16 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1972 (54 years ago)
PAC ID
0648455642
Group Practice PAC ID
2769395896
Professional Enrollment ID
I20110505000691
Address ID
PA191413019PH1200XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

878 PHYSICAL MEDICINE AND REHABILITATION in PA

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Provider Addresses for CHANNARAYAPATNA R. SRIDHARA (MD)

  • Township Line Road, Elkins Park Gardens, Cheltenham, Cheltenham Township, Montgomery County, Pennsylvania, 19027, United States

    ELKINS PARK, PA 190272220

    Phone: (215) 663-6677

    Fax: (215) 254-2599

    Type: Mailing

  • Burger King, 101, East Olney Avenue, Olney, Philadelphia, Philadelphia County, Pennsylvania, 19120, United States

    SUITE 400

    PHILADELPHIA, PA 191202421

    Phone: (215) 456-7000

    Fax: (215) 254-2599

    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 $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Boston Scientific Corporation ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-05-05

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
I20110505000691IPhysical Medicine And RehabilitationPATBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study7759$0
99214Established patient office or other outpatient visit, 30-39 minutes3333$0
95909Nerve conduction, 5-6 studies2424$0
95910Nerve conduction, 7-8 studies2020$0
95885Needle measurement of electrical activity in arm or leg muscles, limited study1514$0
View full utilization report →

Insurance plans in this area (ZIP 19027)

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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: 2769395896View full group profile
NameSpecialtyState
E N D O C R I N O L O G YPA
-PA
Internal MedicinePA
Nurse PractitionerPA
N E U R O L O G YPA
-PA
-PA
Diagnostic RadiologyPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

How do I look up CHANNARAYAPATNA R. SRIDHARA (MD) by NPI?
Use NPI 1407800022 when you need to reference CHANNARAYAPATNA R. SRIDHARA (MD) in forms, claims, or directories.
Is CHANNARAYAPATNA R. SRIDHARA (MD) currently active in the NPI registry?
CMS-published data lists CHANNARAYAPATNA R. SRIDHARA (MD) as an active registrant.
Does CHANNARAYAPATNA R. SRIDHARA (MD) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for CHANNARAYAPATNA R. SRIDHARA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHANNARAYAPATNA R. SRIDHARA (MD)?
The page summarizes Elkins Park, Pennsylvania for CHANNARAYAPATNA R. SRIDHARA (MD); expand the address list for detail.
What if Elkins Park, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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