Siri Medical & Associates, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

258248 Issued in NY

Legal business name

SIRI MEDICAL & ASSOCIATES, PLLC

Practice address

1870 Grand Concourse
Bronx, NY 10457-5473

Phone

(718) 684-2516

Fax

(718) 684-2518

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Pramila Kumari Kolisetty, MDNPI 1639108285

Title

Owner

Phone

(718) 644-4529

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Pramila Kumari Kolisetty, MD

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1639108285
  Medicare reassignment NPD Authorized official
• Fabiana Alcantara, PT

  • Physical Therapist
  • Bronx, NY
  • NPI 1386192508

  Specialist

  NPD
• Alfredo Davila-Rivera, MD

  • Physical Medicine & Rehabilitation Physician
  • Trinity, FL
  • NPI 1477713303
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1275820086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575473",
            "telephone_number": "718-684-2516",
            "fax_number": "718-684-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575473",
            "telephone_number": "718-684-2516",
            "fax_number": "718-684-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRI MEDICAL & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "KOLISETTY",
        "authorized_official_first_name": "PRAMILA",
        "authorized_official_middle_name": "KUMARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-644-4529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "240104",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "258248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markiel Sionov, PA
• Sarah Elizabeth Sipes, LMSW
• Sireci Family Dental PC
• Edward M Sireci, D.D.S.
• Erwin Sirena
• Kym Yves Tan Sirilan, MD
• Sirisha Pharmacy Inc
• Maia Sirkin, MD, MPH
• Ashley Sirna, LMSW
• Rosely S Sisa, CNM

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.