Srihari Das Kanuru, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

00007320 Issued in AL

Practice address

234 Keller Park Blvd
Tuscumbia, AL 35674-1417

Phone

(256) 386-4300

Fax

(256) 314-4472

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Das S Kanuru Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Emergency Physician Group

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1205197951
  Medicare reassignment NPD
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1306833744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-386-4300",
            "fax_number": "256-314-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-386-4300",
            "fax_number": "256-314-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANURU",
        "first_name": "SRIHARI",
        "middle_name": "DAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00007320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003370",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051003370",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAS",
            "last_name": "KANURU",
            "middle_name": "S",
            "prefix": "MR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Margaret James, NP
• Erica Lynne Jantzen, CRNP
• Anna Grace Jeffreys, BCBA, LBA
• Ivee G Jenkins
• Jmac Med LLC
• Kennedy LLC
• Roger Lee Kennedy Jr., PHARM.D.
• Ashtyn F King
• Clinton West Kirchner
• Jacky Ray Langston, DC

• Pediatrics Physician in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.