Active NPI
Sri Krishna Vasireddy, M.D.
- Hospitalist Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 01066436B
- Practice address
- 2401 W University Ave
Ball Memorial Hospital
Muncie, IN 47303-3428 - Phone
- (765) 741-1515
- Fax
- (765) 751-5087
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01066436B | IN | Primary |
Addresses
Primary practice location
2401 W University Ave
Ball Memorial Hospital
Muncie, IN 47303-3428
Mailing address
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1515
Other practice location 1
3500 S LaFountain St
Kokomo, IN 46902-3803
Phone (765) 776-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200951120 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | svasireddy404693@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8571
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01066436B | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Hospitalist | Current | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822
2401 W University Ave
Fl 5
Muncie, IN 47303
Phone (765) 282-8797
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
Interoperability endpoints
- svasireddy404693@ecommunitydirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Hospitalist
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1043462393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-741-1515",
"fax_number": "765-751-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"address_2": "BALL MEMORIAL HOSPITAL",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-741-1515",
"fax_number": "765-751-5087"
}
],
"practiceLocations": [
{
"address_1": "3500 S LaFountain St",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469023803",
"country_code": "US",
"telephone_number": "765-776-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASIREDDY",
"first_name": "SRI KRISHNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2023-11-27",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01066436B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200951120",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "svasireddy404693@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "3500 S LaFountain St",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469023803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.