Latha Sree Vellanki, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

75825 Issued in AZ

Practice address

6648 E Carondelet Dr
Tucson, AZ 85710-2119

Phone

(520) 886-8151

NPI assigned

Sep 28, 2006

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT, AZ2 enrollments

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 2

Specialty

Dermatology

Education

Northeastern Ohio University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians

Epiphany Dermatology of Arizona LLCGroup PAC ID 9830181361, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Peters Health Hospital, Helena, MT, CCN 270003

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

92.95

Improvement activities

40

Cost

79.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: latha.vellanki@epiphanyderm.emadirect.md

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.

• Epiphany Dermatology of Arizona, LLC

  • Dermatology Physician
  • Peoria, AZ
  • NPI 1457465858
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of Montana, PLLC

  • Dermatology Physician
  • Butte, MT
  • NPI 1902455074
  Medicare reassignment Care Compare group NPD
• Academy Dermatologists Group LLC

  • Procedural Dermatology Physician
  • Tucson, AZ
  • NPI 1144588047
  NPD

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

• St Peter's Medical Group North

  • Family Medicine Physician
  • Helena, MT
  • NPI 1477844744

  Hospital

  Care Compare affiliation
• St. Peter's Health

  dba St Peters Medical Office Building

  • Family Medicine Physician
  • Helena, MT
  • NPI 1083869390

  Hospital

  Care Compare affiliation
• St. Peter's Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1528023520
  Care Compare affiliation
• St. Peter's Hospital

  • Ambulance
  • Helena, MT
  • NPI 1760586481

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1346332640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465",
            "fax_number": "512-233-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6648 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-886-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596018022",
            "country_code": "US",
            "telephone_number": "406-443-7200",
            "fax_number": "406-443-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "LATHA",
        "middle_name": "SREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "8071",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "75825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052700",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070017373",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000092195",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Scott Velenovsky, PH.D.
• Paulina Velez-Burgos, CPO
• Francesca Velez, LCSW
• Jessica M Velez, CTRS
• Mercedes P. Vella, M.A.
• Velo Med Urgent Care PC
• Jamie Velo, DNP
• Selene A. Veloz, DPT
• Felicitas Elizabeth Veltha, L.P.N.
• Shannon Veltre, LMT

• Dermatology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.