Sridevi Konkimalla, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R3894 Issued in TX

Practice address

3765 S Alameda St Ste 304
Corpus Christi, TX 78411-1671

Phone

(361) 884-2904

Fax

(361) 884-2919

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Coastal at Home Dialysis facility, Corpus Christi, TX, CCN 452715
• Usrc Oso Bay Dialysis Dialysis facility, Corpus Christi, TX, CCN 672662
• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infinity Hypertension and Kidney Care LLC

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1104409473
  Medicare reassignment NPD Authorized official
• Unified Women's Healthcare of Texas PLLC

  • Obstetrics & Gynecology Physician
  • Addison, TX
  • NPI 1952703373
  NPD (past)
• Upper Valley Interventional Nephrology, PLLC

  • Nephrology Physician
  • Mission, TX
  • NPI 1184382848
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Isd Renal Inc

  dba Coastal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corpus Christi, TX
  • NPI 1639125172

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers Southeast LP

  dba Oso Bay Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Corpus Christi, TX
  • NPI 1487980579

  Dialysis facility

  Care Compare affiliation Name & address match
• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation
• Christus Spohn Health System Corporation

  dba CHRISTUS Spohn Hospital Corpus Christi

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1053477372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-884-2904",
            "fax_number": "361-857-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 S ALAMEDA ST STE 304",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111671",
            "telephone_number": "361-884-2904",
            "fax_number": "361-884-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 S Cliff Ave",
            "address_2": "Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051058",
            "country_code": "US",
            "telephone_number": "605-322-5800",
            "fax_number": "605-322-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONKIMALLA",
        "first_name": "SRIDEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT187482",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SD",
            "license": "7846",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R3894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006350",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R3894",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tete E Koffie-Lartevi, PHARMD
• Ursula Kolenovsky, DT
• Kolich Chiropractic & Rehab, PLLC
• John Kolich, DC
• Stefan J Konasiewicz, MD
• George Koomos
• Samantha Hana Kordahi
• Kathryn A Kortzendorf, NP
• Adolph J Koska III, M.D., PHD
• Marilyn Jane Kostelnik, A.R.N.P.

• Nephrology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.

Verify at the official NPI Registry.