DR. JAYASHREE SRINIVASAN (MD) – Neurological Surgery Physician, NPI 1407812134

DR. JAYASHREE SRINIVASAN (MD) is a healthcare provider. based in Olympia, Washington. specializing in Neurological Surgery Physician. They hold the professional credentials MD. They hold a License No. MD00030207 (WA). The NPI Number for DR. JAYASHREE SRINIVASAN (MD) is 1407812134

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAYASHREE SRINIVASAN (MD)
NPI
1407812134
Phone
(206) 623-0922
Address
1607 Cooper Point Rd NW
Enumeration Date
21 April 2006
Last Update Date
27 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
2066338100
Graduation Year
1990 (36 years ago)
PAC ID
8123012630
Group Practice PAC ID
8527972900
Professional Enrollment ID
I20040715001371
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JAYASHREE SRINIVASAN (MD)

  • 1607 Cooper Point Rd NW

    Olympia, WA 985028325

    Phone: (206) 623-0922

    Fax: (206) 623-1558

    Type: Location

  • 751 NE Blakely Dr Ste 4020

    Issaquah, WA 980296201

    Phone: (206) 623-0922

    Fax: (206) 623-1588

    Type: Location

  • 617, Broadway, First Hill, Seattle, King County, Washington, 98122, United States

    SEATTLE, WA 981224319

    Phone: (206) 623-0922

    Fax: (206) 623-1588

    Type: Mailing

  • Heath Building, 801, Broadway, First Hill, Seattle, King County, Washington, 98122, United States

    617

    SEATTLE, WA 981224396

    Phone: (206) 623-0922

    Fax: (206) 623-1588

    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: 2004-07-15

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
I20040715001371INeurosurgeryWATBD

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
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 98502)

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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: 8527972900View full group profile
NameSpecialtyState
-WA
Orthopedic Surgery, Hand SurgeryWA
U R O L O G YWA
Occupational Therapist In Private PracticeWA
-WA
Orthopedic Surgery, Sports MedicineWA
Physician AssistantWA
-WA
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
-WA

Reviews

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Frequently asked questions

What federal number belongs to DR. JAYASHREE SRINIVASAN (MD)?
The federal identifier for DR. JAYASHREE SRINIVASAN (MD) is NPI 1407812134.
Is DR. JAYASHREE SRINIVASAN (MD) currently active in the NPI registry?
CMS-published data lists DR. JAYASHREE SRINIVASAN (MD) as an active registrant.
What field does DR. JAYASHREE SRINIVASAN (MD) work in?
You can think of DR. JAYASHREE SRINIVASAN (MD) as practicing within Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JAYASHREE SRINIVASAN (MD)'s primary listing?
We display Olympia, Washington because that is what the record indicates for DR. JAYASHREE SRINIVASAN (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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