Jyothishree Rao Pinnaka, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

48655 Issued in TN

Practice address

53 Danner CT Apt 101
Apt # 101
Memphis, TN 38103-5992

Phone

(508) 450-6607

NPI assigned

Oct 19, 2005

Last updated

Jun 21, 2013By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4

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.

• Jyothishree PC

  • Specialist
  • Memphis, TN
  • NPI 1760725659
  Authorized official Same address or phone
• Kidney Care Consultants, P.C.

  • Specialist
  • Memphis, TN
  • NPI 1154585081
  NPD (past)
• Aeger Inpatient Services

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1578596599
  NPD (past)
• Descarte Inpatient Services

  • Internal Medicine Physician
  • Clinton, MA
  • NPI 1326086844
  NPD (past)
• Huxley Inpatient Services

  • Internal Medicine Physician
  • Marlborough, MA
  • NPI 1932141405
  NPD (past)
• Nashoba Valley Healthcare Group Inc

  • Family Medicine Physician
  • Ayer, MA
  • NPI 1174513071

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1740279942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DANNER CT APT 101",
            "address_2": "APT # 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035992",
            "telephone_number": "508-450-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DANNER CT APT 101",
            "address_2": "APT # 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035992",
            "telephone_number": "508-450-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNAKA",
        "first_name": "JYOTHISHREE",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223154",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "48655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100096",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Crossman Pinlac, FNP
• Renee Ann Pinlac, RN/NP
• Pinnacle Autism Therapy, LLC.
• Pinnacle Health Services,LLC (PHS)
• Pinnacle Physical Therapy
• Rebecca Lynn Pinner, RDN
• Judy Pinson, RN, FNP-BC
• Martin L Pinstein, MD
• Soniya Naomi Pinto, MBBS
• Samuel Pinzur, DPT

• Nephrology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.