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SRIJA REDDY KESIREDDY M.D.
NPI 1538055355
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since June 17, 2025PECOS Enrolled
461 WEST HURON STREET SUITE 107, PONTIAC, MI 48341(248) 724-7600(248) 857-7141 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Mar 13, 2026, Jun 17, 2025 (3 updates tracked since 2025).

About Srija Reddy Kesireddy M.d. NPPES

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

SRIJA REDDY KESIREDDY M.D. (NPI 1538055355) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538055355
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSRIJA REDDY KESIREDDYCredential: M.D.
Location Address461 WEST HURON STREET SUITE 107Pontiac, MI 48341
Mailing AddressPo Box 430150Pontiac, MI 48343-0150 · (248) 724-7600 · Fax (248) 857-7141
Phone(248) 724-7600
Fax(248) 857-7141
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 17, 2025
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1538055355 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.
461 WEST HURON STREET SUITE 107, Pontiac, MI 48341
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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)

Srija Reddy Kesireddy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345711156
PECOS Enrollment IDI20260602003961
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 Srija Reddy Kesireddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oakland Integrated Healthcare Network
0.1 mi
Hospitalist
461 W HURON ST, SUITE 107
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1114383320 (248) 724-7600

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

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 Srija Reddy Kesireddy's NPI number?

The NPI number for Srija Reddy Kesireddy is 1538055355. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Srija Reddy Kesireddy located?

Srija Reddy Kesireddy practices at 461 West Huron Street Suite 107, Pontiac, MI 48341. The listed phone number is (248) 724-7600.

What is Srija Reddy Kesireddy's specialty?

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

Is Srija Reddy Kesireddy enrolled in Medicare?

Yes. Srija Reddy Kesireddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Srija Reddy Kesireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srija Reddy Kesireddy reassigns Medicare benefits to Oakland Integrated Healthcare Network (Pontiac, MI). 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 Srija Reddy Kesireddy'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 Srija Reddy Kesireddy was last updated on May 29, 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.