Active NPI
Sai Subramanyam Kommineni, MD
- Internal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1235865759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 62072
- Practice address
- 700 NE 13TH St
Oklahoma City, OK 73104-5004 - Phone
- (606) 595-8580
- NPI assigned
- Jul 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 45527 | OK | |
| Internal Medicine Physician | 207R00000X | 62072 | KY | Primary |
Addresses
Primary practice location
700 NE 13TH St
Oklahoma City, OK 73104-5004
Mailing address
75 Readi Mix Spur Apt 13
Harlan, KY 40831-3549
Other practice location 1
81 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Airport Gardens Rd
Hazard, KY 41701-9529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45527 | OK | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1235865759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 READI MIX SPUR APT 13",
"city": "HARLAN",
"state": "KY",
"postal_code": "408313549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045004",
"telephone_number": "606-595-8580"
}
],
"practiceLocations": [
{
"address_1": "81 Ball Park Rd",
"address_purpose": "LOCATION",
"city": "Harlan",
"state": "KY",
"postal_code": "408311701",
"country_code": "US",
"telephone_number": "606-573-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMMINENI",
"first_name": "SAI",
"middle_name": "SUBRAMANYAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-27",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OK",
"license": "45527",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "62072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
- 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.