Srinivas Konda

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014931 Issued in MI

Practice address

7004 Michigan Ave
Detroit, MI 48210-2872

Phone

(313) 554-3600

Fax

(313) 554-3601

NPI assigned

May 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/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.

• Rehabilitation Specialists of Monroe P C

  • Physical Medicine & Rehabilitation Physician
  • Monroe, MI
  • NPI 1255355871
  Medicare reassignment NPD

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1710246038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102872",
            "telephone_number": "313-554-3600",
            "fax_number": "313-554-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102872",
            "telephone_number": "313-554-3600",
            "fax_number": "313-554-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDA",
        "first_name": "SRINIVAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kom4Care Home Health Services LLC
• Komfort Kare Solutions LLC
• Rachel Lorraine Konchal, MD
• Koncorda Inc
• Sasank Konda, M.D.
• Shivani V Kondagunta, PA-C
• Efstathios Kondylis, M.D.
• Sirisha Koneru, M.D.
• Wan Yee Kong, M.D
• Wing Tai Kong, MD

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.