Praveen Sridhar, MD in Salt Lake City, UT - Medicare Thoracic Surgery

Praveen Sridhar, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Salt Lake City, Utah. He went to Boston University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Banner-university Medical Group and his current practice location is 30 N 1900 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-4222.

Praveen Sridhar is licensed to practice in Utah (license number 12058337-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528487071.

Contact Information

	Praveen Sridhar, MD
	30 N 1900 E, Salt Lake City, UT 84132-0002
	(801) 581-4222
	Not Available

Map and Direction

Physician's Profile

Full Name	Praveen Sridhar
Gender	Male
Speciality	Thoracic Surgery
Experience	11 Years
Location	30 N 1900 E, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Praveen Sridhar attended and graduated from Boston University School Of Medicine in 2014

NPI Data:

NPI Number: 1528487071
Provider Enumeration Date: 04/14/2014
Last Update Date: 05/31/2021

Medicare PECOS Information:

PECOS PAC ID: 7719103563
Enrollment ID: I20230612001589

Medical Identifiers

Medical identifiers for Praveen Sridhar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528487071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	12058337-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner - University Medical Center Tucson Campus	Tucson, AZ	Hospital
Banner-university Medical Center South Campus	Tucson, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner-university Medical Group	7719899871	950

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Praveen Sridhar allows following entities to bill medicare on his behalf.

Entity Name	Banner-university Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Praveen Sridhar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Praveen Sridhar, MD 30 N 1900 E, Salt Lake City, UT 84132-0002 Ph: (801) 581-4222	Praveen Sridhar, MD 30 N 1900 E, Salt Lake City, UT 84132-0002 Ph: (801) 581-4222

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Salt Lake City, UT

Dr. Bruce Bennett Reid, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #154, Salt Lake City, UT 84103 Phone: 801-408-8666
J Kent Thorne, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1160 E 3900 S, #3500, Salt Lake City, UT 84124 Phone: 801-743-4750 Fax: 801-743-4765
Michael P Collins, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Ste 600, Salt Lake City, UT 84107 Phone: 801-507-3600
Lauren E. Levy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Drive Rm 4s100, Salt Lake City, UT 84132 Phone: 801-581-2121
Dr. Stephen Eugene Clayson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 324 10th Ave, Salt Lake City, UT 84103 Phone: 801-408-8666
Hiroshi Kagawa, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2353
Edwin Clifford Mcgough, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 705 N Pioneer Fork Rd, Salt Lake City, UT 84108 Phone: 801-554-9481

Praveen Sridhar, MD - Medicare Thoracic Surgery in Salt Lake City, UT