Leela Krishna Teja Boppana, MBBS

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

342072 Issued in NY

Practice address

19320 US Route 11 BLDG 3
Watertown, NY 13601-5337

Phone

(315) 786-0254

Fax

(315) 785-3647

NPI assigned

Jul 29, 2019

Last updated

Jul 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vascular Surgery of the University

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1053332189
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1194379198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19320 US ROUTE 11 BLDG 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015337",
            "fax_number": "315-785-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19320 US ROUTE 11 BLDG 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015337",
            "telephone_number": "315-786-0254",
            "fax_number": "315-785-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014099",
            "country_code": "US",
            "telephone_number": "315-785-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOPPANA",
        "first_name": "LEELA KRISHNA TEJA",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "342072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa E Bonner, RPH
• Rebecca Lynne Booras
• Deanna Marie Booth, LPN
• Kathy Booth, LPN
• Margaret Lillie Bootie, SPEECH THERAPIST
• Meredith Bossinger, DPT
• Stephanie Boswell-Davies, MIDWIFE
• Kaleigh Boulio-Alberry
• Amber Boulrice, RN
• Michelle Lynne Boulton, RPA-C

• Pulmonary Disease Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.