Individual provider Active NPI

Sri Vibhavari Guntupalli

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1528544327
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275735 Issued in MA
Practice address
2486 Nerredia St Ste E
Flint, MI 48532-4807
Phone
(810) 230-9901
Fax
(810) 230-9916
NPI assigned
Jul 14, 2018
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 275735 MA Primary
Nephrology Physician 207RN0300X 4301511238 MI

Addresses

Primary practice location

2486 Nerredia St Ste E
Flint, MI 48532-4807

Mailing address

2486 Nerredia St Ste E
Flint, MI 48532-4807
Phone (810) 230-9901

Other practice location 1

401 N Hooper St
Caro, MI 48723-1476
Phone (810) 230-9901

Other practice location 2

1320 N Michigan Ave Ste 7
Saginaw, MI 48602-4751
Phone (810) 230-9901

Other practice location 3

295 Maple St Ste 201
Tawas City, MI 48763-9352
Phone (810) 230-9901

Other practice location 4

2110 S M 76
West Branch, MI 48661-8766
Phone (810) 230-9901

Other practice location 5

2919 Wilder Rd Ste 210
Bay City, MI 48706-9602
Phone (810) 230-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240813001219 MI Practitioner - Nephrology 4385045103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Disease and Hypertension Consultants PCGroup PAC ID 0446251623, 8 clinicians

Practice addresses (Care Compare)

2486 Nerredia St
Suite E
Flint, MI 48532-4807
Phone (810) 230-9901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
275735MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease & Hypertension Consultants PC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

2919 Wilder Rd
Ste 210
Bay City, MI 48706
Phone (989) 607-0590

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

2486 Nerredia St
Ste E
Flint, MI 48532
Phone (313) 800-8230

1320 N Michigan Ave
Ste 7
Saginaw, MI 48602
Phone (989) 583-2720

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884

L 3677
Columbus, OH 43260

Interoperability endpoints

  • Direct secure messaging: sguntupalli1130891@direct.hfhs.org
  • Direct secure messaging: sguntupalli165799@direct.covenanthealthcare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1528544327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA ST STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 NERREDIA ST STE E",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324807",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Hooper St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231476",
            "country_code": "US",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 N Michigan Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024751",
            "country_code": "US",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Maple St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tawas City",
            "state": "MI",
            "postal_code": "487639352",
            "country_code": "US",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 S M 76",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618766",
            "country_code": "US",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2919 Wilder Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487069602",
            "country_code": "US",
            "telephone_number": "810-230-9901",
            "fax_number": "810-230-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTUPALLI",
        "first_name": "SRI VIBHAVARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "275735",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301511238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.