Individual provider Active NPI

Sireesha Palkamsetti, M.D

  • Pediatrics Physician
  • Oak Grove, LA
National Provider Identifier
1356629513
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
207994 Issued in LA
Practice address
706 Ross St
Oak Grove, LA 71263-9798
Phone
(318) 428-3237
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A154743 CA
Pediatrics Physician 208000000X 207994 LA Primary

Addresses

Primary practice location

706 Ross St
Oak Grove, LA 71263-9798

Mailing address

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Other practice location 1

4770 W Herndon Ave Ste 110
Fresno, CA 93722-8401
Phone (559) 450-5718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20150916002169 LA Practitioner - Pediatric Medicine 0446567978 Reassigns benefits to 1 organization
I20180918003883 CA Practitioner - Pediatric Medicine 0446567978 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A154743CAMDPediatrics Physician
207994LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Sep 5, 2018 Accepting new patients
West Carroll Health Systems LLC CurrentSince Jul 13, 2015 Accepting new patients
Saint Agnes Medical Foundation CurrentSince Oct 12, 2025 Accepting new patients
Family Healthcare Network CurrentSince Sep 5, 2018 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Reedley Community Hospital CurrentSince Sep 18, 2023 Accepting new patients
West Carroll Health Systems LLC CurrentSince Jul 13, 2015 Accepting new patients
Reedley Community Hospital CurrentSince Sep 18, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Past Accepting new patients
Fresno Community Hospital and Medical Center PastSince Oct 12, 2025 Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

4770 W Herndon Ave
Ste 110
Fresno, CA 93722
Phone (559) 450-0463

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

400 E Oak Ave
Visalia, CA 93291
Phone (559) 741-4500

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

706 Ross St
Oak Grove, LA 71263
Phone (318) 428-3237

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1356629513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 W Herndon Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937228401",
            "country_code": "US",
            "telephone_number": "559-450-5718",
            "fax_number": "559-450-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALKAMSETTI",
        "first_name": "SIREESHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A154743",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "207994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

Verify at the official NPI Registry.