Individual provider Active NPI

Srinivas Sai a. Kondapalli, M.D.

  • Ophthalmology Physician
  • Pittsburgh, PA
National Provider Identifier
1437438264
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35125713 Issued in OH
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

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0140956MedicaidOH
P01626999OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150904000894 OH Practitioner - Ophthalmology 7416263439 Reassigns benefits to 1 organization
I20160802000525 PA Practitioner - Ophthalmology 7416263439 Reassigns benefits to 1 organization
I20160823001307 WV Practitioner - Ophthalmology 7416263439 Reassigns benefits to 1 organization

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 100Reported as group
Quality
96.62
Improvement activities
40
Cost
78.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35125713OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J Jagela OD Faao Professional LLC CurrentSince Aug 15, 2016 Accepting new patients
Everett & Hurite Ophthalmic Association Ophthalmology CurrentSince Aug 15, 2016 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.

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

Verify at the official NPI Registry.