Udaya Shreesha, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

61-320 Issued in WI

Practice address

3400 Ministry Pkwy
Weston, WI 54476-5220

Phone

(715) 393-3000

NPI assigned

May 31, 2006

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA, IL, OH, MI4 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 4

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Medical CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ushreesha108441@direct.unitypoint.org

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.

• Covenant Medical Center, Inc.

  dba Covenant HealthCare

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1972590412
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290
  Medicare reassignment NPD
• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227

  Pulmonary Disease

  Medicare reassignment NPD
• Trinity Medical Center

  • Psychiatry Physician
  • Rock Island, IL
  • NPI 1033163829

  IA

  Medicare reassignment NPD
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Internal Medicine

  Medicare reassignment NPD
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376

  Internal Medicine

  NPD
• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  NPD
• Somc Medical Care Foundation, Inc.

  dba Somc Radiology Associates

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1366686230
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Prakash Palimar, M.D.,PA

  • Pulmonary Disease Physician
  • McAllen, TX
  • NPI 1538132287

  Internal Medicine

  NPD (past)

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

• Genesis Health System

  dba Genesis Medical Center Davenport

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Bettendorf

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation
• Unity Healthcare

  dba Trinity Muscatine

  • General Acute Care Hospital
  • Muscatine, IA
  • NPI 1861444333
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1093762213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-393-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-393-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Saint Francis Dr",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025619",
            "country_code": "US",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Saint Francis Dr",
            "address_2": "Suite 510",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025619",
            "country_code": "US",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013505",
            "country_code": "US",
            "telephone_number": "920-433-7451",
            "fax_number": "920-433-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHREESHA",
        "first_name": "UDAYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.125679",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "61-320",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "34951",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036136134",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036136134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "34951",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IA",
            "license": "34951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281071",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kshamata Shalini, MD
• Kay M Shawbitz, N.P.
• James S Shebuski, D.C.
• Michael T. Sheehan, MD
• Krupa Vithal Shingada, MD
• Jerzy Sikora, M.D.
• William Robert Skarie, DDS
• Skylight Autism Center
• Stefanie Sladky, LPC-IT
• Sleep Health Wisconsin LLC

• Pulmonary Disease Physician in Weston, WI
• Providers in Weston, WI by specialty
• Pulmonary Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.