K Heart & Vascular PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

K HEART & VASCULAR PLLC

Practice address

33376 Dequindre Road
Sterling Heights, MI 48310-5966

Phone

(586) 722-7440

Fax

(586) 722-7675

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Srinivas Koneru, MDNPI 1477599587

Title

Physician/Owner

Phone

(586) 722-7440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srinivas Koneru, MD

  • Cardiovascular Disease Physician
  • Sterling Heights, MI
  • NPI 1477599587
  Medicare reassignment NPD Authorized official
• Varun Sai Yelamanchili, MD

  • Interventional Cardiology Physician
  • Muskegon, MI
  • NPI 1396165080
  Medicare reassignment

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1104452929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33376 DEQUINDRE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105966",
            "telephone_number": "586-722-7440",
            "fax_number": "586-722-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33376 DEQUINDRE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105966",
            "telephone_number": "586-722-7440",
            "fax_number": "586-722-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K HEART & VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "586-722-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L. Julien, DPT
• Dominic Juncaj, RN
• Justin Charge Enterprises Inc
• Jyj Helping Hands
• K Heart & Vascular Institute, PLLC
• Ka Brothers Home Care Service LLC
• Anisa Kacani
• Smitkumar Kadakia
• Savitha Kadakol, MD
• Marina Elena Kade, AU.D.

• Cardiovascular Disease Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.