SRI CHARAN REDDY KANTHALA MD
NPI 1033957006
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Sri Charan Kanthala's NPI number?

The NPI number for Sri Charan Kanthala is 1033957006. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Q: What is Sri Charan Kanthala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 16, 2024PECOS Enrolled

3188 BELLEVUE AVENUE, ML0781, INDIANAPOLIS, IN 46202(513) 584-4505(513) 584-0468 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2024, Aug 10, 2024, Jul 16, 2024 (3 updates tracked since 2024).

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About Sri Charan Reddy Kanthala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRI CHARAN REDDY KANTHALA MD (NPI 1033957006) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033957006

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSRI CHARAN REDDY KANTHALACredential: MD

Location Address3188 BELLEVUE AVENUE, ML0781Indianapolis, IN 46202-3082

Mailing Address3188 Bellevue Avenue, Ml0781Indianapolis, IN 46202-3082 · (513) 584-4505 · Fax (513) 584-0468

Phone(513) 584-4505

Fax(513) 584-0468

Sole ProprietorNo

Enumeration DateJuly 16, 2024

Last NPPES UpdateJune 19, 20263 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1033957006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3188 BELLEVUE AVENUE, ML0781, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sri Charan Reddy Kanthala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sri Charan Kanthala's NPI number?

The NPI number for Sri Charan Kanthala is 1033957006. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Sri Charan Kanthala located?

Sri Charan Kanthala practices at 3188 Bellevue Avenue, Ml0781, Indianapolis, IN 46202. The listed phone number is (513) 584-4505.

What is Sri Charan Kanthala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sri Charan Kanthala enrolled in Medicare?

Yes. Sri Charan Kanthala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sri Charan Kanthala was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.