Active NPI
Indira K Veerisetty, M.D.
- Internal Medicine Physician
- Ridgeland, MS
National Provider Identifier
1720011778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10202
- Practice address
- 11 Professional Parkway
Ridgeland, MS 39157-4113 - Phone
- (601) 856-2460
- Fax
- (601) 856-4687
- NPI assigned
- Jul 9, 2006
- Last updated
- Mar 21, 2024
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10202 | MS | Primary |
Addresses
Primary practice location
11 Professional Parkway
Ridgeland, MS 39157-4113
Mailing address
11 Professional Parkway
Ridgeland, MS 39157-4113
Phone (601) 856-2460
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014170 | Medicaid | MS | |
| 640881814 | Other | MS | TAX IDENTIFICATION |
| DFEC CENTRAL | Other | MS | GOVERNMENT W/C |
| 1316128762 | Other | MS | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11 Professional Pkwy
Ridgeland, MS 39157-4114
Phone (601) 856-2460
Hospital & facility affiliations
- Mississippi Homecare of Jackson
- St Dominic-Jackson Memorial Hospital
- Mississippi Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 55.37 of 100
- Quality
- 82.32
- Improvement activities
- 0
- Cost
- 74.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharkey Issaquena Community Hospital | Current | Accepting new patients | |
| Wesley Dee Granger, M.D., P.a. | Current | Accepting new patients | |
| Indira Inc | Internal Medicine | Current | Accepting new patients |
Locations
11 Professional Pkwy
Ridgeland, MS 39157
Phone (601) 856-2460
12 Professional Pkwy
Ridgeland, MS 39157
Phone (601) 605-4393
47 S Fourth St
Rolling Fork, MS 39159
Phone (662) 873-4395
Interoperability endpoints
- indira.veerisetty@mrmc.directbygreenway.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Madison Ridgeland Medical Clinic
- Internal Medicine Physician
- Ridgeland, MS
- NPI 1316128762
-
- General Acute Care Hospital
- Rolling Fork, MS
- NPI 1013004795
-
dba Sharkey Issaquena Medical Clinic
- Multi-Specialty Clinic/Center
- Rolling Fork, MS
- NPI 1073118501
-
- Preferred Provider Organization
- Ridgeland, MS
- NPI 1285894378
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
dba Mississippi HomeCare / Jackson
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1720011778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PROFESSIONAL PARKWAY",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574113",
"telephone_number": "601-856-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PROFESSIONAL PARKWAY",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574113",
"telephone_number": "601-856-2460",
"fax_number": "601-856-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEERISETTY",
"first_name": "INDIRA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "10202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014170",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "640881814",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOVERNMENT W/C",
"identifier": "DFEC CENTRAL",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1316128762",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.