DR. SIRISHA T KOMAKULA MD NPI 1295872562

NPI Information

NPI: 1295872562
Provider Name: DR. SIRISHA T KOMAKULA, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
280 EXEMPLA CIR
LAFAYETTE, CO
ZIP 80026
Phone: (303) 338-4545
Get Directions

DR. Sirisha T Komakula, MD is a neuroradiology radiology in Lafayette, CO with 24 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Sirisha T Komakula, MD NPI is 1295872562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

280 EXEMPLA CIR
LAFAYETTE, CO
ZIP 80026-370
Phone: (303) 338-4545

The NPI 1295872562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 5/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	68811864-1205	UTAH	No
2	390200000X	Student in an Organized Health Care Education/Training Program		TL-1241	COLORADO	No
3	2085N0700X	Radiology	Neuroradiology	051894	COLORADO	Yes
4	2085N0700X	Radiology	Neuroradiology	6881864-1205	UTAH	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32072279	MEDICAID	COLORADO
2	025338	OTHER	COLORADO	KAISER COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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