SRIHARIKA REDDY GOTTIPOLU MD
NPI 1659121127
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Sriharika Gottipolu's NPI number?

The NPI number for Sriharika Gottipolu is 1659121127. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Q: What is Sriharika Gottipolu'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 March 26, 2024PECOS Enrolled

1400 8TH AVE, FORT WORTH, TX 76104(817) 252-9309 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Sriharika Reddy Gottipolu Md NPPES

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

SRIHARIKA REDDY GOTTIPOLU MD (NPI 1659121127) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659121127

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSRIHARIKA REDDY GOTTIPOLUCredential: MD

Location Address1400 8TH AVEFort Worth, TX 76104-4110

Mailing Address1400 8th AveFort Worth, TX 76104-4110

Phone(817) 252-9309

Sole ProprietorNo

Enumeration DateMarch 26, 2024

NPPES CertifiedMarch 26, 2024

✔ NPI 1659121127 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.

1400 8TH AVE, Fort Worth, TX 76104

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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)

Sriharika Reddy Gottipolu 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.

Other Providers at the Same Location NPPES 20

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

JOEY MAYOR MD

Emergency Medicine