Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shreyas Srinivasan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639732043

Shreyas Srinivasan, DO is a Family Practice in Peoria, Illinois. Qualified in 2019, 7 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

420 NE Glen Oak Ave Fl 1
Peoria, IL 61603
Phone: (877) 692-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 Mosside Blvd Ste 500, Monroeville, PA 15146-3514 — (412) 457-1064

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.162278 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639732043
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 22, 2019
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address330 S Main St, Morton, IL 61550-1976

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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