Active NPI
Smitha Neerukonda
- Cardiovascular Disease Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 18294A
- Practice address
- 2301 House Ave Ste 301
Cheyenne, WY 82001-3178 - Phone
- (307) 637-1600
- Fax
- (307) 637-1699
- NPI assigned
- Apr 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 18294A | WY | Primary |
Addresses
Primary practice location
2301 House Ave Ste 301
Cheyenne, WY 82001-3178
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 634-2273
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sneerukonda66700@direct.crmcwy.org | Health Information Exchange (HIE) | Memorial Hospital of Laramie County |
| Direct Messaging Address | sneerukonda66700@direct.crmcwy.org | Direct | Memorial Hospital of Laramie County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221107002027 | CO | Practitioner - Cardiovascular Disease (Cardiology) | 3779709258 | Reassigns benefits to 1 organization |
| I20250422001039 | WY | Practitioner - Cardiovascular Disease (Cardiology) | 3779709258 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Tulane University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cheyenne Regional Physicians Group LLC
Practice addresses (Care Compare)
2301 House Ave
Suite 301
Cheyenne, WY 82001-3178
Phone (307) 637-1600
4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961
Hospital & facility affiliations
- Cheyenne Regional Medical Center
- Platte County Hospital
- Community Hospital
- Kimball Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18294A | WY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Cheyenne Regional Physicians Group, LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Cheyenne Children'S Clinic, PC | Past | Accepting new patients |
Locations
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1800 15th St
Ste 310
Greeley, CO 80631
Phone (970) 392-0900
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336
2301 House Ave
Ste 301
Cheyenne, WY 82001
Phone (307) 637-1600
4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
Interoperability endpoints
- sneerukonda66700@direct.crmcwy.org
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.
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Multi-Specialty Clinic/Center
- Eaton, CO
- NPI 1609137306
-
- Pediatrics Physician
- Cheyenne, WY
- NPI 1073537601
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1669835013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20970",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037020",
"telephone_number": "307-634-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOUSE AVE STE 301",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013178",
"telephone_number": "307-637-1600",
"fax_number": "307-637-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEERUKONDA",
"first_name": "SMITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-03",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WY",
"license": "18294A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sneerukonda66700@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sneerukonda66700@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.