Individual provider Active NPI

Srikanth Seethala, M.D, MPH

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Boise, ID
National Provider Identifier
1982803292
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
MC-2847 Issued in ID
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

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140212001732 KY Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850425109 Reassigns benefits to 1 organization
I20191230002464 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 1850425109 Reassigns benefits to 1 organization
I20211008001314 IN Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850425109 Reassigns benefits to 1 organization
I20240730003808 ID Practitioner - Interventional Cardiology 1850425109 Reassigns benefits to 1 organization
I20250326003732 OR Practitioner - Cardiovascular Disease (Cardiology) 1850425109 Reassigns benefits to 1 organization

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 IncGroup PAC ID 3476462359, shared by 4 NPIs, 672 clinicians

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 Home health agency, Boise, ID, CCN 137006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MC-2847IDMDAdvanced Heart Failure and Transplant Cardiology Physician
MD2012-0465NMMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Jan 18, 2025 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Apr 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2024 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 CurrentSince Apr 1, 2021 Accepting new patients
Wellness Consultancy LLC Internal Medicine PastSince Jun 15, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.