Active NPI
Srinivas Sai a. Kondapalli, M.D.
- Ophthalmology Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35125713
- Practice address
- 1835 Forbes Ave
Pittsburgh, PA 15219-5835 - Phone
- (412) 288-0885
- Fax
- (412) 281-1926
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35125713 | OH | Primary |
Addresses
Primary practice location
1835 Forbes Ave
Pittsburgh, PA 15219-5835
Mailing address
1835 Forbes Ave
Pittsburgh, PA 15219-5835
Phone (412) 288-0885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0140956 | Medicaid | OH | |
| P01626999 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Technology Dr
Suite 250
Pittsburgh, PA 15219-3114
Phone (412) 288-0885
314 Penco Rd
Weirton, WV 26062-3863
Phone (304) 723-5200
4100 Johnson Rd
Suite 204
Steubenville, OH 43952-2365
Phone (740) 283-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.27 of 100
- Quality
- 96.62
- Improvement activities
- 40
- Cost
- 78.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35125713 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward J Jagela OD Faao Professional LLC | Current | Accepting new patients | |
| Everett & Hurite Ophthalmic Association | Ophthalmology | Current | Accepting new patients |
| Everett & Hurite Ophthalmic Association | Past | Accepting new patients |
Locations
4100 Johnson Rd
Ste 204
Steubenville, OH 43952
Phone (740) 283-3937
102 Technology Dr
Ste 120
Butler, PA 16001
Phone (724) 287-6753
560 Rugh St
Greensburg, PA 15601
Phone (412) 538-0010
1835 Forbes Ave
Pittsburgh, PA 15219
Phone 41228808851217
400 Penn Center Blvd
Ste 320
Pittsburgh, PA 15235
Phone (412) 824-1300
2000 Technology Dr
Ste 250
Pittsburgh, PA 15219
802A Warrendale Village Dr
Fl 2
Warrendale, PA 15086
Phone (247) 761-2337
314 Penco Rd
Weirton, WV 26062
Phone (304) 723-5200
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Pittsburgh, PA
- NPI 1225146228
OH, WV
-
- Optometrist
- Steubenville, OH
- NPI 1144422361
-
- Optometrist
- Pittsburgh, PA
- NPI 1427148261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1437438264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 FORBES AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195835",
"telephone_number": "412-288-0885",
"fax_number": "412-281-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 FORBES AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195835",
"telephone_number": "412-288-0885",
"fax_number": "412-281-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDAPALLI",
"first_name": "SRINIVAS",
"middle_name": "SAI A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35125713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0140956",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01626999",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.