Srikanth Challagundla, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A130015 Issued in CA

Practice address

1501 Claus Rd
Modesto, CA 95355-9711

Phone

(209) 557-6300

Fax

(209) 557-6388

NPI assigned

Aug 24, 2011

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, AL, CA3 enrollments

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 3

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

WK Medical GroupGroup PAC ID 6103116348, 19 clinicians

LGTC GroupGroup PAC ID 0749795102, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srikanth.challagundla@lifqhc.eclinicaldirectplus.com
• Direct secure messaging: srikanthchallagundla@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941

  Psychiatry

  Medicare reassignment Care Compare group NPD
• WK Medical Group

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1588083992
  Medicare reassignment Care Compare group NPD
• Savant Care Inc

  dba Savant Care

  • Community/Behavioral Health Agency
  • Los Altos, CA
  • NPI 1932511243
  Medicare reassignment NPD
• Central Nassau Guidance & Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Hicksville, NY
  • NPI 1114928462

  Psychiatry

  Medicare reassignment NPD
• Houston County Healthcare Authority

  dba Samc-Enterprise Medical Clinic

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1619026606
  Medicare reassignment NPD
• Amity Psychiatry PLLC

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1619615598
  NPD Authorized official
• Positive Health PLLC

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1285498048
  NPD Authorized official
• Houston County Healthcare Authority

  dba Southeast Reference Services

  • Clinical Medical Laboratory
  • Dothan, AL
  • NPI 1114161601
  NPD
• Houston County Healthcare Authority

  dba SAMC- Profee Billing

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1285783134
  NPD
• Houston County Healthcare Authority

  dba Southeast Alabama Medical Center Medical Clinics

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1538597349

  Psychiatry

  NPD
• Medcore Associates, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Dothan, AL
  • NPI 1992524607
  NPD
• Pathology Laboratory Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Dothan, AL
  • NPI 1134190648
  NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1902186737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-557-6300",
            "fax_number": "209-557-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-557-6300",
            "fax_number": "209-557-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 Lebanon Rd # 101-102",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750359472",
            "country_code": "US",
            "telephone_number": "945-248-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Royale Orleans Ct",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051173",
            "country_code": "US",
            "telephone_number": "213-308-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALLAGUNDLA",
        "first_name": "SRIKANTH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "273208",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "37024",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A130015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.
• 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.