Active NPI
Sreedevi Atluri, M.D.
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1881942886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 336098118
- Practice address
- 676 N Saint Clair St
Ste 1400
Chicago, IL 60611-2927 - Phone
- (312) 695-5620
- NPI assigned
- Aug 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Q8014 | TX | |
| Internal Medicine Physician | 207R00000X | 266056-1 | NY | |
| Gastroenterology Physician | 207RG0100X | 336098118 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St
Ste 1400
Chicago, IL 60611-2927
Mailing address
676 N Saint Clair St
Ste 1400
Chicago, IL 60611-2927
Phone (312) 695-5620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Internal Medicine
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6870 W 52ND Ave
Suite 102
Arvada, CO 80002-3952
9250 E Costilla Ave
Suite 540
Greenwood Village, CO 80112-3648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266056-1 | NY | MD | Internal Medicine Physician |
| 336098118 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Consultants PLLC | Internal Medicine | Current | Accepting new patients |
Locations
9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112
12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777
Organizations & group practices 1
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
- Greenwood Village, CO
- NPI 1265822910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1881942886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-695-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-695-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATLURI",
"first_name": "SREEDEVI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-22",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "Q8014",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "266056-1",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "336098118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.