Active NPI
Siri Vummaneni
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1902781230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125085148
- Practice address
- 4201 Saint Antoine St # 2E
Detroit, MI 48201-2153 - Phone
- (872) 346-3428
- NPI assigned
- Aug 6, 2025
- Last updated
- Oct 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125085148 | IL | Primary |
Addresses
Primary practice location
4201 Saint Antoine St # 2E
Detroit, MI 48201-2153
Mailing address
4646 N Marine Drive
Weiss Memorial Hospital
Chicago, IL 60640
Phone (773) 564-5225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250909002333 | MI | Order and Referring Only - Internal Medicine | 8224530068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- siri.vummaneni.1@19711.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1902781230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 N MARINE DRIVE",
"address_2": "WEISS MEMORIAL HOSPITAL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-564-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST # 2E",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "872-346-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUMMANENI",
"first_name": "SIRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125085148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.