SREEDEVI KOPPISETTI JENIGIRI MD NPI 1598930257

NPI Information

NPI: 1598930257
Provider Name: SREEDEVI KOPPISETTI JENIGIRI, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
855 A AVE NE STE 400
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 298-2200
Get Directions

Sreedevi Koppisetti Jenigiri, MD is a nephrology internal medicine in Cedar Rapids, IA with 20 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Sreedevi Koppisetti Jenigiri, MD NPI is 1598930257. 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:

855 A AVE NE STE 400
CEDAR RAPIDS, IA
ZIP 52402-064
Phone: (319) 298-2200
Fax: (319) 739-5199

The NPI 1598930257 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 4/24/2008 and was last updated on 9/16/2021.

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	208M00000X	Hospitalist		MD.205697	LOUISIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207RN0300X	Internal Medicine	Nephrology	MD-41915	IOWA	Yes

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	2324098	MEDICAID	LOUISIANA
2	00303879	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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