Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANTISREE TANIKELLA M.D.
NPI 1710265467
Pediatrics in Coal Township, PA

Q: What is Santisree Tanikella's NPI number?

The NPI number for Santisree Tanikella is 1710265467. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Q: What is Santisree Tanikella's specialty?

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

Active since July 29, 2011PECOS Enrolled

4203 HOSPITAL RD, COAL TOWNSHIP, PA 17866(570) 648-4010 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Aug 30, 2020, Jun 22, 2017 (3 updates tracked since 2017).

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About Santisree Tanikella M.d. NPPES

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

SANTISREE TANIKELLA M.D. (NPI 1710265467) is an individual pediatrics provider in Coal Township, Pennsylvania, licensed in Pennsylvania (MD460347) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710265467

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSANTISREE TANIKELLACredential: M.D.

Location Address4203 HOSPITAL RDCoal Township, PA 17866-9668

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144

Phone(570) 648-4010

Sole ProprietorNo

Enumeration DateJuly 29, 2011

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 30, 2020

✔ NPI 1710265467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD460347

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 390200000X

4203 HOSPITAL RD, Coal Township, PA 17866

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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)

Santisree Tanikella 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17866 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 16

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

ELIZABETH ANN BOLIG RN

Registered Nurse (Women's Health Care, Ambulatory)