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SRILATHA KONDURI GANNAVARAM MBBS NPI 1467666834


NPI Information

NPI: 1467666834
Provider Name: SRILATHA KONDURI GANNAVARAM, MBBS
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: SAINT LUKES PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
20 NE SAINT LUKES BLVD
STE. 350
LEES SUMMIT, MO
ZIP 64086
Phone: (816) 347-5600
Get Directions

Srilatha Konduri Gannavaram, MBBS is a hospitalist in Lees Summit, MO with 26 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Srilatha Konduri Gannavaram, MBBS NPI is 1467666834. 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:

20 NE SAINT LUKES BLVD
STE. 350
LEES SUMMIT, MO
ZIP 64086-001
Phone: (816) 347-5600
Fax: (816) 347-5674

The NPI 1467666834 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Automated urinalysis test (HCPCS:81003)
  • Hemoglobin A1C level (HCPCS:83036)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Urinalysis, manual test (HCPCS:81002)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 5/9/2007 and was last updated on 2/28/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2007023617MISSOURINo
2208M00000XHospitalist0436784KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11467666834MEDICAIDMISSOURI

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: 11/14/2023

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