Supreeth Kumar Reddy Kunnuru

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

343357 Issued in LA

Practice address

Ochsner Clinic Foundation
1514 Jefferson Highway
New Orleans, LA 70121

Phone

(504) 842-3260

NPI assigned

Sep 27, 2024

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1750109914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OCHSNER CLINIC FOUNDATION",
            "address_2": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OCHSNER CLINIC FOUNDATION",
            "address_2": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNNURU",
        "first_name": "SUPREETH KUMAR REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "343357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohail Kumar, MD
• Harshinidevi Kumaresan, MD
• Kolby Adam Kunefke
• Benjamin Norris Kunen, MD
• Melissa Miyuki Kunimatsu, PH.D.
• John Kunthara, MD
• Jenny M Kuo, D.O.
• Aaron Kurtti, MD
• Changa Kurukularatne, M.D.
• Megan Kushner

• Student in an Organized Health Care Education/Training Program in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.