Srinath Chinnakotla, M.D.
Individual provider Active NPI Transplant Surgery Physician · Minneapolis, MN
NPI 1376579698 · NPPES record last updated Nov 13, 2014
Key facts
- NPI
- 1376579698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Transplant Surgery Physician 204F00000X
- License
- 52651 (MN)
- Practice address
- 516 Delaware St SE
Minneapolis, MN 55455-0356 - Phone
- (612) 626-6100
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Express Care
Practice addresses (Care Compare)
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- M Health Fairview Ridges Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100804000927 | MN | Practitioner - General Surgery | 8729111224 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2843 | TX | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current |
Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current |
Accepting new patients | |
| University of Minnesota Physicians | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| University of Minnesota Physicians | Current |
Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Healthtexas Provider Network-Transplant Services LLP | Transplant Surgery | Past | Accepting new patients |
| Transplant Associates of Baylor Health Care System, PA | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
2512 S 7th St
Fl 3
Minneapolis, MN 55454
Phone (612) 365-6777
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
420 Delaware St SE
Ste 195
Minneapolis, MN 55455
Phone (612) 301-9433
Interoperability endpoints
- schinnakotla147931@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | L2843 | TX | |
| Transplant Surgery Physician | 204F00000X | 52651 | MN | Yes |
Addresses
Primary practice location
516 Delaware St SE
Minneapolis, MN 55455-0356
Mailing address
420 Delaware St SE
MMC 195
Minneapolis, MN 55455-0341
Phone (612) 625-3373
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H3714 | Other | TX | BCBS |
| 1487852-03 | Medicaid | TX | |
| 1487852-04 | Medicaid | TX |
Other providers in Minneapolis, MN
- Melissa Moy Chin
- Elaine Lashay Chineth
- Elliott Chinn
- Vasant Ranganath Chinnabhandar
- Sivakumar Chinnadurai
- Goodness Chioma Chinweuba
- Dafni Chiona
- Allison Chiou
- Jeffrey Green Chipman
- Chiro First PA
All providers in Minneapolis, MN · Transplant Surgery Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.