Active NPI
Srijaya Soujanya Nalla, M.D.
- Obstetrics & Gynecology Physician
- Drexel Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DR.0056318
- Practice address
- 2100 Keystone Ave
Suite 206
Drexel Hill, PA 19026-1129 - Phone
- (610) 394-4710
- Fax
- (610) 394-4721
- NPI assigned
- Sep 15, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT194769 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD449133 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | DR.0056318 | CO | Primary |
Addresses
Primary practice location
2100 Keystone Ave
Suite 206
Drexel Hill, PA 19026-1129
Mailing address
PO Box 800022
Kansas City, MO 64180-3182
Phone (800) 953-0104
Other practice location 1
2030 Mountain View Ave Ste 400
Longmont, CO 80501-3182
Phone (720) 652-8730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23370050 | Medicaid | CO |
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
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2030 Mountain View Ave
Suite 400
Longmont, CO 80501-3182
Phone (720) 652-8730
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0056318 | CO | MD | Obstetrics & Gynecology Physician |
| MT194769 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Longmont United Hospital | Past | Accepting new patients |
Locations
2030 Mountain View Ave
Ste 400
Longmont, CO 80501
Phone (303) 776-1532
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 5
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Clinical Psychologist
- Westminster, CO
- NPI 1730325168
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1932432580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641803182",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 KEYSTONE AVE",
"address_2": "SUITE 206",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261129",
"telephone_number": "610-394-4710",
"fax_number": "610-394-4721"
}
],
"practiceLocations": [
{
"address_1": "2030 Mountain View Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805013182",
"country_code": "US",
"telephone_number": "720-652-8730",
"fax_number": "720-652-8729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NALLA",
"first_name": "SRIJAYA SOUJANYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT194769",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD449133",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "DR.0056318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23370050",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.