Active NPI
Srikanth Seethala, M.D, MPH
- Advanced Heart Failure and Transplant Cardiology Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- MC-2847
- Practice address
- 6140 W Curtisian Ave Ste 120
Boise, ID 83704-8880 - Phone
- (208) 302-0000
- Fax
- (208) 302-0220
- NPI assigned
- Jul 16, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | MC-2847 | ID | Primary |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 46700 | KY | |
| Hospitalist Physician | 208M00000X | MD2012-0465 | NM |
Addresses
Primary practice location
6140 W Curtisian Ave Ste 120
Boise, ID 83704-8880
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
3 Audubon Plaza Dr Ste 110
Louisville, KY 40217-1363
Phone (502) 636-8266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, AZ, IN, ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Saint Alphonsus Regional Medical Center Inc
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
3025 W Cherry LN
Meridian, ID 83642-8531
3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (208) 302-2200
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone (541) 523-6461
351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
4424 E Flamingo Ave
Nampa, ID 83687-9306
6140 W Curtisian Ave
Boise, ID 83704-0107
Phone (208) 302-0000
6140 W Curtisian Ave
Boise, ID 83704-0109
Hospital & facility affiliations
- Enhabit Home Health & Hospice
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
- Saint Alphonsus Medical Center Ontario
- St. Alphonsus Medical Center - Baker City
- St Luke'S Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-2847 | ID | MD | Advanced Heart Failure and Transplant Cardiology Physician |
| MD2012-0465 | NM | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Wellness Consultancy LLC | Internal Medicine | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1739 E Beverly Ave
Ste 214
Kingman, AZ 86409
Phone (928) 681-8734
1739 E Beverly Ave
Ste 217
Kingman, AZ 86409
Phone (928) 681-8724
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
6140 W Curtisian Ave
Ste 120
Boise, ID 83704
6140 W Curtisian Ave
Ste 102
Boise, ID 83704
Phone (208) 367-7787
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030
1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
4915 Norton Healthcare Blvd
Ste 202
Louisville, KY 40241
3 Audubon Plaza Dr
Ste 110
Louisville, KY 40217
Phone (502) 367-8121
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200
Interoperability endpoints
- sseethala3408993@direct.trinity-health.org
Organizations & group practices 12
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
Cardiovascular Disease
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
OR
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Family Medicine, IN
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Orthopaedic Surgery of the Spine Physician
- Louisville, KY
- NPI 1437382074
Family Medicine
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Internal Medicine Physician
- Madison, IN
- NPI 1922994433
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boise, ID
- NPI 1598717696
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Baker City, OR
- NPI 1386636355
-
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1982803292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 W CURTISIAN AVE STE 120",
"city": "BOISE",
"state": "ID",
"postal_code": "837048880",
"telephone_number": "208-302-0000",
"fax_number": "208-302-0220"
}
],
"practiceLocations": [
{
"address_1": "3 Audubon Plaza Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402171363",
"country_code": "US",
"telephone_number": "502-636-8266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEETHALA",
"first_name": "SRIKANTH",
"name_prefix": "Dr.",
"credential": "M.D, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "ID",
"license": "MC-2847",
"primary": true
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "KY",
"license": "46700",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NM",
"license": "MD2012-0465",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.