Sridivya Kosuri, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD61279882 Issued in WA

Practice address

3810 Plaza Way
Kennewick, WA 99338-2722

Phone

(509) 221-7000

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 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

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trios Health Hospital, Kennewick, WA, CCN 500053
• Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• Lourdes Medical Center Hospital, Pasco, WA, CCN 501337
• Regency Canyon Lakes Rehab and Nursing Center Nursing home, Kennewick, WA, CCN 505372

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skosuri1521578@direct.lhs.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• MBB Kennewick LLC

  • Skilled Nursing Facility
  • Kennewick, WA
  • NPI 1144210162

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Northwest Hospital Medicine Physicians LLC

  • Hospitalist Physician
  • Las Cruces, NM
  • NPI 1972056752

  Internal Medicine, WA

  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Northwest, LLC

  • Hospitalist Physician
  • Puyallup, WA
  • NPI 1811752066
  Medicare reassignment NPD
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1619086766
  Medicare reassignment NPD
• Wa Pacs 2 PC

  • Hospitalist Physician
  • Tacoma, WA
  • NPI 1144706532
  Medicare reassignment NPD
• Washington Pac Services PC

  • Hospitalist Physician
  • Spokane, WA
  • NPI 1336678168
  Medicare reassignment NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  Internal Medicine, WA

  Medicare reassignment NPD
• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Medicare reassignment
• Grant County Public Hospital District 1

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1609112739
  NPD
• Grant County Public Hospital District 1

  • General Acute Care Hospital
  • Moses Lake, WA
  • NPI 1902818883
  NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1861808719

  Internal Medicine

  NPD
• MBB Kennewick LLC

  • Skilled Nursing Facility
  • Kennewick, WA
  • NPI 1144210162
  NPD (past)
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  NPD (past)

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

• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Lourdes Hospital LLC

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation
• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Care Compare affiliation

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1578023065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382722",
            "telephone_number": "509-221-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382722",
            "telephone_number": "509-221-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Tacoma Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "989442263",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSURI",
        "first_name": "SRIDIVYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61279882",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD61279882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kortbaoui, DO
• Loni Nicole Koski
• Kristin Koskinen
• Kern A. Kostenko, CRNA
• Yuliya Kostyuchenko, CPHT
• Kelsey Breanne Koukol, CNA
• Tayte Janette Koussa-Bingman, OTD
• Louis K Koussa, D.O.
• Max M Kovatch
• Bailey Nicole Kowalski, DC

• Hospitalist Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Hospitalist Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.