Sitara Kommareddi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

31411 Issued in AZ

Practice address

6567 E Carondelet Dr
Suite 435
Tucson, AZ 85710-6152

Phone

(520) 512-5757

Fax

(520) 882-3211

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

General Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sitara Kommareddi MD PLLC

  • Surgery Physician
  • Tucson, AZ
  • NPI 1447527817
  Medicare reassignment NPD Authorized official
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment Care Compare group NPD
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Medicare reassignment NPD
• Elizabeth Butler PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
  • NPI 1689385239
  NPD
• Tucson Medical Center

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1972876563
  NPD
• Arizona Community Surgeons PC

  • Surgery Physician
  • Tucson, AZ
  • NPI 1689616070
  NPD (past)
• Saguaro Surgical, P C

  • Specialist
  • Tucson, AZ
  • NPI 1124208269
  NPD (past)
• Valley ENT, PC

  • Otolaryngology Physician
  • Scottsdale, AZ
  • NPI 1508990185
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1841236833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 435",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-512-5757",
            "fax_number": "520-882-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 435",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-512-5757",
            "fax_number": "520-882-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-327-5461",
            "fax_number": "520-324-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMMAREDDI",
        "first_name": "SITARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "31411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "31411",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778673",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Jackson Kolzow, PT, DPT
• Arthur Kom Sipowa, MD
• Wagma Komak, PHARMD
• Komako House
• Christopher Bernard Komanapalli, M.D.
• Akira Kondo, A.T.C
• Bradley Konecnik, DMD
• Naveen Konidala
• Elise Fassler Konigsberg, WHCNP
• Julie Konigsberg, LCSW

• Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.

Verify at the official NPI Registry.