Active NPI
Srinivas Kottapally, M.D.
- Radiation Oncology Physician
- Uniontown, PA
National Provider Identifier
1962404343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD039369L
- Practice address
- 51 Brewer Dr
Uniontown, PA 15401-8400 - Phone
- (724) 437-2503
- Fax
- (724) 437-8846
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD039369L | PA | Primary |
Addresses
Primary practice location
51 Brewer Dr
Uniontown, PA 15401-8400
Mailing address
845 Ashton CT
North Huntingdon, PA 15642-3999
Phone (814) 603-3676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470927 | Other | PA | HIGHMARK BC/BS |
Other names 1
- Sri Kottapally
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Radiation Oncology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 Brewer Dr
Uniontown, PA 15401-8400
Phone (724) 437-2503
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD039369L | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Oncology Associates | Radiation Oncology | Current | Accepting new patients |
Locations
51 Brewer Dr
Uniontown, PA 15401
Phone (724) 437-2503
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.
-
- Radiation Oncology Physician
- Uniontown, PA
- NPI 1003817958
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1861409773
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1871594127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1962404343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 ASHTON CT",
"city": "NORTH HUNTINGDON",
"state": "PA",
"postal_code": "156423999",
"telephone_number": "814-603-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BREWER DR",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154018400",
"telephone_number": "724-437-2503",
"fax_number": "724-437-8846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTAPALLY",
"first_name": "SRINIVAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD039369L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "470927",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SRI",
"last_name": "KOTTAPALLY",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.