Srilakshmi Maguluri

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036118718 Issued in IL

Practice address

850 W Irving Park Rd
Chicago, IL 60613-3099

Phone

(504) 813-4218

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Sri Maguluri Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Shore Retina, SC CorpGroup PAC ID 3072056894, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lake Shore Retina, S.C. Corp

  • Ophthalmology Physician
  • Dandridge, TN
  • NPI 1255564258
  Medicare reassignment Care Compare group Authorized official
• Bond Eye Associates, S.C.

  • Optician
  • Canton, IL
  • NPI 1104025485
  NPD (past)
• Bond Eye Associates, SC

  • Ophthalmology Physician
  • Pekin, IL
  • NPI 1285725903
  NPD (past)
• Veena Arun MD SC

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1811160658
  NPD (past)

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

• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1669590329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10616",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606100616",
            "telephone_number": "504-813-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133099",
            "telephone_number": "504-813-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGULURI",
        "first_name": "SRILAKSHMI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "241473",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036118718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.118718",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRI",
            "last_name": "MAGULURI",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Virgilio M Magsino, M.D.
• Amelyn Cruz Magtanong, ARNP
• Colette Maguire
• J. Gordon Maguire, MD
• Meredith Julia Magulak, APN
• Shriram Sudarshan Mahabal, MBBS
• Shalynn Nicole Mahady
• Abhimanyu Mahajan, M.D.
• Arushi Prashant Mahajan, MD
• Bhanu Mahajan, MD

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.