Kavitha Tipirneni, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

OS11211 Issued in FL

Practice address

500 Trinity LN N
Apt 8201
St Petersburg, FL 33716-1215

Phone

(727) 623-4459

NPI assigned

Jul 12, 2011

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kavitha Waggoner Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Gastroenterology

Education

University of New England, College of Osteo Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Gastroenterology LTDGroup PAC ID 6507842234, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kavitha.waggoner.d1.p2@direct.azgastroenterology.nextgenshare.com

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.

• Arizona Gastroenterology LTD

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1043297690
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Oro Valley Hospital LLC

  dba Oro Valley Hospital

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1275821191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TRINITY LN N",
            "address_2": "APT 8201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161215",
            "telephone_number": "727-623-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TRINITY LN N",
            "address_2": "APT 8201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161215",
            "telephone_number": "727-623-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPIRNENI",
        "first_name": "KAVITHA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS11211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITHA",
            "last_name": "WAGGONER",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy C. Runyon, D.P.M. P.a.
• Timothy Cymanski LLC
• Timothy J Flaherty, DDS PA
• Shelley D Tindell-Nodine, PSY.D.
• Michael Tino, PTA
• Amber Tipker, APRN
• Wesley Alan Tippit, CRNA
• Catherine Tirado, LCSW
• Crystin Megan Tirone, MD
• Sreelatha Tirupathi, M.D.

• Gastroenterology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.