Individual provider Active NPI

Srinath Krishnamachary Tamirisa, MD

  • Nephrology Physician
  • Greenwood Village, CO
National Provider Identifier
1639372949
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N7981 Issued in TX
Practice address
9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone
(720) 644-9355
Fax
(720) 523-1654
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 N7981 TX
Nephrology Physician 207RN0300X N7981 TX Primary

Addresses

Primary practice location

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648

Mailing address

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355

Other practice location 1

3939 Medical Dr Ste 110
San Antonio, TX 78229-2292
Phone (210) 858-7604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111024000762 TX Practitioner - NephrologyPractitioner - Internal Medicine 9133288798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (936) 634-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Dialysis Solutions at Home, PLLC Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Feb 11, 2026 Accepting new patients
Micaby Medical,PLLC Nephrology CurrentSince Jun 1, 2020 Accepting new patients
Physicians Unity CurrentSince Feb 1, 2022 Accepting new patients
SNG - Barlite San Saba Dialysis Centers LP Past Accepting new patients

Locations

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

1222 McCullough Ave
#101
San Antonio, TX 78212
Phone (210) 858-7604

5418 N Loop 1604 W
Ste 250B
San Antonio, TX 78249
Phone (210) 961-8282

1804 NE Loop 410
Ste 102
San Antonio, TX 78217
Phone (210) 817-4848

915 S Laredo St
#200
San Antonio, TX 78204
Phone (210) 798-1965

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1639372949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 E COSTILLA AVE STE 540",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123648",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 E COSTILLA AVE STE 540",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123648",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Medical Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782292292",
            "country_code": "US",
            "telephone_number": "210-858-7604",
            "fax_number": "210-888-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMIRISA",
        "first_name": "SRINATH",
        "middle_name": "KRISHNAMACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7981",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N7981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.