Individual provider Active NPI

Srigayatri D Bollepalli Nidamanuri, M.D

  • Diagnostic Radiology Physician
  • Morgantown, WV
National Provider Identifier
1184916405
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36291 Issued in WV
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(304) 598-4000
NPI assigned
May 4, 2011
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36291 WV Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4000

Other identifiers 1

IdentifierTypeStateIssuer
615476MedicaidAZ

Other names 1

  • Dr. Srigayatri D Bollepalli Nidamanuri Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20110616000142 AZ Practitioner - Diagnostic Radiology 9133306319 Reassigns benefits to 3 organizations
I20240613002176 TX Practitioner - Diagnostic Radiology 9133306319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

2680 S Val Vista Dr
135 Simonmed Imaging Spectrum
Gilbert, AZ 85295-1621
Phone (480) 584-4900

2830 N 3Rd St
Simonmed Imaging Thomas
Phoenix, AZ 85004-1042
Phone (602) 200-1750

3618 W Anthem Way
D104 Simonmed Imaging Anthem
Anthem, AZ 85086-0458
Phone (623) 879-3740

6707 N 19TH Ave
Phoenix, AZ 85015-1105
Phone (602) 688-6200

9220 E Mountain View Rd
Suite 100
Scottsdale, AZ 85258-5134
Phone (480) 425-5000

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince May 5, 2024 Accepting new patients
Gila River Health Care CurrentSince May 5, 2024 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Jan 21, 2022 Accepting new patients
Az Tech Radiology & Open MRI Past Accepting new patients

Locations

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

5410 W Thunderbird Rd
Ste 240
Glendale, AZ 85306
Phone (602) 535-5210

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

15000 N 83rd Ave
Unit 100
Peoria, AZ 85381

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

18404 N Tatum Blvd
Ste 103
Phoenix, AZ 85032
Phone (602) 485-7490

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

3201 W Peoria Ave
Ste B301
Phoenix, AZ 85029
Phone (602) 688-6120

5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490

790 Gail Gardner Way
Prescott, AZ 86305
Phone (928) 776-9900

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9201 E Mountain View Rd
Ste 112
Scottsdale, AZ 85258
Phone (480) 584-6800

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1184916405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDAMANURI",
        "first_name": "SRIGAYATRI",
        "middle_name": "D BOLLEPALLI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "36291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIGAYATRI",
            "last_name": "BOLLEPALLI NIDAMANURI",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.