Individual provider Active NPI

Sirisha Reddy Thambuluru, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Shreveport, LA
National Provider Identifier
1669907440
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
342995 Issued in LA
Practice address
9220 Ellerbe Rd Ste 700
Shreveport, LA 71106-6709
Phone
(318) 681-5282
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD478559 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 342995 LA Primary

Addresses

Primary practice location

9220 Ellerbe Rd Ste 700
Shreveport, LA 71106-6709

Mailing address

9220 Ellerbe Rd Ste 700
Shreveport, LA 71106-6709
Phone (318) 681-5282

Other practice location 1

2539 Viking Dr Ste 103
Bossier City, LA 71111-2165
Phone (318) 681-4807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240727000151 LA Practitioner - Endocrinology 0042587800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

2539 Viking Dr
Suite 103
Bossier City, LA 71111-2165
Phone (318) 681-4807

9220 Ellerbe Rd
700 Christus Primary Care Partners
Shreveport, LA 71106-6709
Phone (318) 681-5282

Hospital & facility affiliations

  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.52 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 2, 2024 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients
Gateway Medical Specialists, LLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2022 Accepting new patients

Locations

2539 Viking Dr
Ste 103
Bossier City, LA 71111
Phone (318) 681-4807

9220 Ellerbe Rd
Ste 700
Shreveport, LA 71106
Phone (318) 681-5282

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

795 E Marshall St
Ste G2
West Chester, PA 19380
Phone (610) 431-2971

Interoperability endpoints

  • Direct secure messaging: sthambuluru399206@christushealth.direct-ci.net
  • Direct secure messaging: sirishareddythambuluru@gmacc.allscriptsdirect.net

Organizations & group practices 3

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 5

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1669907440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 ELLERBE RD STE 700",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066709",
            "telephone_number": "318-681-5282",
            "fax_number": "318-681-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 ELLERBE RD STE 700",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066709",
            "telephone_number": "318-681-5282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2539 Viking Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112165",
            "country_code": "US",
            "telephone_number": "318-681-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAMBULURU",
        "first_name": "SIRISHA REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD478559",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "342995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.