Active NPI
Sridevi Donepudi, M.D.
- Family Medicine Physician
- New Castle, DE
National Provider Identifier
1629073606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C1-0011878
- Practice address
- 239 Christiana Rd
New Castle, DE 19720-2907 - Phone
- (302) 327-7630
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036108481 | IL | |
| Family Medicine Physician | 207Q00000X | 04-32448 | KS | |
| Family Medicine Physician | 207Q00000X | C1-0011878 | DE | Primary |
Addresses
Primary practice location
239 Christiana Rd
New Castle, DE 19720-2907
Mailing address
200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731672215 | Other | IL | CCN FIRST CHOICE |
| 731672215 | Other | IL | TRICARE |
| 731672215 | Other | IL | PREFERRED PLAN, INC PPO |
| 731672215 | Other | IL | PROFESSIONAL BENEFIT ADMI |
| 731672215 | Other | IL | UNITED (GRP 0240939) |
| 731672215A | Other | IL | HUMANA |
| 731672215 | Other | IL | PHCS CORESOURCE |
| 036108481 | Medicaid | IL | |
| 04932321 | Other | IL | BLUE CROSS BLUE SHIELD |
| 731672215 | Other | IL | PRUDENTIAL |
| 731672215 | Other | IL | UNICARE |
| 2162900 | Other | IL | FIRST HEALTH |
| 731672215 | Other | IL | GREAT WEST |
| 200438380A | Medicaid | KS | |
| 731672215 | Other | IL | AETNA |
| 731672215 | Other | IL | PRINCIPAL LIFE INSURANCE |
| 731672215 | Other | IL | TRUSTMARK LIFE INSURANCE |
Other names 1
- Sridevi Donepudi Reid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0011878 | DE | MD | Family Medicine Physician |
| 036108481 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1629073606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 CHRISTIANA RD",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197202907",
"telephone_number": "302-327-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEPUDI",
"first_name": "SRIDEVI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036108481",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-32448",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0011878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN FIRST CHOICE",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED PLAN, INC PPO",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL BENEFIT ADMI",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED (GRP 0240939)",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "731672215A",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS CORESOURCE",
"identifier": "731672215",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108481",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04932321",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2162900",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "731672215",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200438380A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL LIFE INSURANCE",
"identifier": "731672215",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRUSTMARK LIFE INSURANCE",
"identifier": "731672215",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SRIDEVI",
"last_name": "REID",
"middle_name": "DONEPUDI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.