Individual provider Active NPI

Gujjarappa Srinivas, M.D.

  • Diagnostic Radiology Physician
  • Tucson, AZ
National Provider Identifier
1083623656
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36889 Issued in AZ
Practice address
3747 N Placita Vergel
Tucson, AZ 85719-1439
Phone
(210) 744-5290
Fax
(480) 963-4184
NPI assigned
Aug 5, 2006
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X L8962 TX
Diagnostic Radiology Physician 2085R0202X 36889 AZ Primary

Addresses

Primary practice location

3747 N Placita Vergel
Tucson, AZ 85719-1439

Mailing address

3747 N Placita Vergel
Tucson, AZ 85719-1439
Phone (210) 744-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040719000565 TX Practitioner - Diagnostic Radiology 5799764148 Reassigns benefits to 6 organizations
I20070720000302 AZ Practitioner - Diagnostic Radiology 5799764148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians
Pinnacle Healthcare LLCGroup PAC ID 3870939614, 22 clinicians

Practice addresses (Care Compare)

1241 Campbell Rd
Houston, TX 77055-6453
Phone (713) 461-3399

3747 N Pacita Vergel
Tucson, AZ 85719
Phone (928) 855-8151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36889AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Step Diagnostic, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Arizona Advanced Imaging Center LLC CurrentSince Jan 4, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Plainview Radiology LLC Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Healthcare LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Martin County Hospital District CurrentSince May 1, 2025 Accepting new patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
District Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2010 Accepting new patients
Sooner Mobile X-Ray, Inc. CurrentSince Mar 15, 2022 Accepting new patients
Miguel Oneto, MD, PA Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Martin County Hospital District Current Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
PDQ Imaging Services LLC Past Accepting new patients

Locations

600 S Dobson Rd
Ste E42
Chandler, AZ 85224
Phone (480) 289-4550

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

3824 Cedar Springs Rd
Dallas, TX 75219
Phone (469) 634-0050

1727 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 225-0366

11740 Katy Fwy
Ste 1300
Houston, TX 77079
Phone (956) 622-4430

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

1346 Campbell Rd
Houston, TX 77055

1000 E Expressway 83
Ste 4
La Joya, TX 78560
Phone (956) 585-1688

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

108 Kirchwood St
Plainview, TX 79072
Phone (806) 293-2735

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIACD/Endpoint/AEIACD

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1083623656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 N PLACITA VERGEL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191439",
            "telephone_number": "210-744-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 N PLACITA VERGEL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191439",
            "telephone_number": "210-744-5290",
            "fax_number": "480-963-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS",
        "first_name": "GUJJARAPPA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L8962",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "36889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.