KIRANMAYI KORIMERLA MD
NPI 1174939805
Family Medicine in Prosser, WA
About Kiranmayi Korimerla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRANMAYI KORIMERLA MD (NPI 1174939805) is an individual family medicine provider in Prosser, Washington, licensed in Washington (MD60470357) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and maintains a secondary practice location in Richland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kiranmayi Korimerla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kiranmayi Korimerla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kennewick, WA 99337
- Reassigned Medicare billing, Washington enrollment
- 454 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kadlec Regional Medical Center
Acute Care Hospitals · Richland, WAProsser Memorial Hospital
Critical Access Hospitals · Prosser, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Kiranmayi Korimerla's NPI number?
The NPI number for Kiranmayi Korimerla is 1174939805. It was assigned to this individual provider in the NPPES registry on July 2, 2014.
Where is Kiranmayi Korimerla located?
Kiranmayi Korimerla practices at 336 Chardinnay Ave #a Kadlec Clinic Prosser Primary Care, Prosser, WA 99350. The listed phone number is (509) 786-2002.
What is Kiranmayi Korimerla's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kiranmayi Korimerla enrolled in Medicare?
Yes. Kiranmayi Korimerla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kiranmayi Korimerla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiranmayi Korimerla reassigns Medicare benefits to Kadlec Regional Medical Center (Kennewick, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiranmayi Korimerla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiranmayi Korimerla accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kiranmayi Korimerla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kiranmayi Korimerla affiliated with any hospitals?
According to CMS data, Kiranmayi Korimerla is affiliated with Kadlec Regional Medical Center and Prosser Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kiranmayi Korimerla was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Kiranmayi Korimerla, MD · NPI 1174939805
Family Medicine physician in Prosser, Washington. Individual provider, active in the CMS NPPES registry since July 2, 2014.
## Identity
- **NPI:** 1174939805 (Entity type: Individual)
- **Enumerated:** July 2, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD60470357 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 336 CHARDINNAY AVE #A, KADLEC CLINIC PROSSER PRIMARY CARE, Prosser, WA 99350
- **Phone:** (509) 786-2002 · **Fax:** (509) 786-2026
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kadlec Regional Medical Center (NPI 1063967933, Kennewick, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174939805) · Data from the CMS NPPES public registry.