Active NPI
Sri J Obulareddy, M.D.
- Medical Oncology Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- E-15874
- Practice address
- 808 N 39TH Ave
Yakima, WA 98902-6388 - Phone
- (509) 574-3400
- Fax
- (509) 574-3464
- NPI assigned
- Jul 8, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 13992 | ND | |
| Internal Medicine Physician | 207R00000X | E-15874 | AR | |
| Medical Oncology Physician | 207RX0202X | BP20049352 | TX | |
| Medical Oncology Physician | 207RX0202X | MD60793231 | WA | |
| Medical Oncology Physician | 207RX0202X | E-15874 | AR | Primary |
Addresses
Primary practice location
808 N 39TH Ave
Yakima, WA 98902-6388
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
4301 W Markham St # 508
Little Rock, AR 72205
Phone (501) 686-8530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Medical Oncology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20049352 | TX | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health | Medical Oncology | Current | Accepting new patients |
| Baptist Health | Medical Oncology | Current | Accepting new patients |
| Baptist Health | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Current | Accepting new patients |
Locations
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#508
Little Rock, AR 72205
Phone (501) 686-8511
9500 Kanis Rd
Ste 500
Little Rock, AR 72205
Phone (501) 202-4715
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226
Interoperability endpoints
- sriobulareddy@yvmh.direct.varian.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Family Medicine
-
- Rural Health Clinic/Center
- Sparkman, AR
- NPI 1427630110
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Optometrist
- Little Rock, AR
- NPI 1275917809
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1760779979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N 39TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026388",
"telephone_number": "509-574-3400",
"fax_number": "509-574-3464"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 508",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "72205",
"country_code": "US",
"telephone_number": "501-686-8530",
"fax_number": "501-686-8543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBULAREDDY",
"first_name": "SRI",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "ND",
"license": "13992",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-15874",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "BP20049352",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD60793231",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "AR",
"license": "E-15874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.