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SREERAMYA KANUMILLI M.D.
NPI 1336670025
Pediatrics in Burbank, CA

Active since March 23, 2017PECOS Enrolled
191 S BUENA VISTA, SUITE 100, BURBANK, CA 91505(818) 365-9531 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2020, Mar 23, 2017 (2 updates tracked since 2017).

About Sreeramya Kanumilli M.d. NPPES

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

SREERAMYA KANUMILLI M.D. (NPI 1336670025) is an individual pediatrics provider in Burbank, California, licensed in California (A162741) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336670025
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSREERAMYA KANUMILLICredential: M.D.
Location Address191 S BUENA VISTA, SUITE 100Burbank, CA 91505-4562
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793
Phone(818) 365-9531
Sole ProprietorNo
Enumeration DateMarch 23, 2017
Last NPPES UpdateJuly 15, 20202 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1336670025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A162741
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 30666857 (PA)
191 S BUENA VISTA, Burbank, CA 91505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sreeramya Kanumilli M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Sreeramya Kanumilli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Facey Medical Foundation
17 mi
Urgent Care
14550 SOLEDAD CANYON RD
Santa Clarita, CA 91387
  • Reassigned Medicare billing, California enrollment
  • 684 clinicians in this Medicare group
NPI 1922651561 (818) 837-5559

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE LICAUCO NP
Nurse Practitioner (Family)
191 S BUENA VISTA, SUITE 100
BURBANK, CA 91505
Los Angeles County (818) 869-7600

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 Sreeramya Kanumilli's NPI number?

The NPI number for Sreeramya Kanumilli is 1336670025. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Sreeramya Kanumilli located?

Sreeramya Kanumilli practices at 191 S Buena Vista Suite 100, Burbank, CA 91505. The listed phone number is (818) 365-9531.

What is Sreeramya Kanumilli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sreeramya Kanumilli enrolled in Medicare?

Yes. Sreeramya Kanumilli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sreeramya Kanumilli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sreeramya Kanumilli reassigns Medicare benefits to Providence Facey Medical Foundation (Santa Clarita, CA). 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 Sreeramya Kanumilli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sreeramya Kanumilli was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.