Active NPI
Sreedevi Chennupati, M.D.
- Nephrology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 233042
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3001 - Phone
- (585) 922-0400
- Fax
- (585) 922-0455
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 233042 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3001
Mailing address
1425 Portland Ave
Box 242
Rochester, NY 14621-3001
Phone (585) 922-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02590238 | Medicaid | NY | |
| 01131126/RGH | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | schennupati52152@direct.rochesterregional.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
370 E Ridge Rd
Rochester, NY 14621-1240
Phone (585) 922-0600
Hospital & facility affiliations
- Rochester General Hospital - Bay Creek Dialysis Center
- Rochester General Hospital Dialysis Center
- Rochester General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients | |
| Department of Medicine Faculty Practice | Nephrology | Past | Accepting new patients |
Locations
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
370 E Ridge Rd
Ste 20
Rochester, NY 14621
Phone (585) 922-0400
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
#242
Rochester, NY 14621
Phone (585) 922-3662
Interoperability endpoints
- schennupati52152@direct.rochesterregional.org
Organizations & group practices 8
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
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1760557656
-
- Neuromusculoskeletal Medicine & OMM Physician
- Rochester, NY
- NPI 1851348809
Nephrology
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rochester, NY
- NPI 1063454619
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webster, NY
- NPI 1447685342
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1164559530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"address_2": "BOX 242",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-0400",
"fax_number": "585-922-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-0400",
"fax_number": "585-922-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENNUPATI",
"first_name": "SREEDEVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "233042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02590238",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01131126/RGH",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "schennupati52152@direct.rochesterregional.org",
"affiliation": "N",
"address_1": "1425 Portland Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.