Organization Active NPI

Siri Parvataneni MD PA

  • Geriatric Medicine (Family Medicine) Physician
  • Spring, TX
National Provider Identifier
1801327762
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
P0464 Issued in TX
Legal business name
SIRI PARVATANENI MD PA
Practice address
10800 Gosling Rd Unit 130653
Spring, TX 77393-4032
Phone
(409) 200-1950
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Dr. Sirisha Parvataneni, M.D.NPI 1326206822
Title
Director
Phone
(409) 200-1950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X P0464 TX Primary

Addresses

Primary practice location

10800 Gosling Rd Unit 130653
Spring, TX 77393-4032

Mailing address

10800 Gosling Rd
Spring, TX 77393-4001
Phone (409) 200-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906000040 TX Part B Supplier - Clinic/Group Practice 2668701319 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10800 Gosling Rd
Unit 130653
Spring, TX 77393
Phone (409) 200-1950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1801327762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 GOSLING RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773934001",
            "telephone_number": "409-200-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 GOSLING RD UNIT 130653",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773934032",
            "telephone_number": "409-200-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRI PARVATANENI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "PARVATANENI",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-200-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "P0464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.