DR. SASI KIRAN PENUKONDA MD
NPI 1811220957
Pediatrics - Pediatric Endocrinology in Shreveport, LA

Q: What is Sasi Penukonda's NPI number?

The NPI number for Sasi Penukonda is 1811220957. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Q: What is Sasi Penukonda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Sasi Penukonda was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 08, 2009PECOS Enrolled

2032 ELIZABETH AVE, SHREVEPORT, LA 71104(318) 698-0035(318) 698-0078 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Jun 27, 2016 (2 updates tracked since 2016).

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About Dr. Sasi Kiran Penukonda Md NPPES

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

DR. SASI KIRAN PENUKONDA MD (NPI 1811220957) is an individual pediatric endocrinology provider in Shreveport, Louisiana, licensed in Louisiana (325077) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811220957

Entity TypeIndividualMale

Primary Taxonomy2080P0205X

Provider Legal NameDR. SASI KIRAN PENUKONDACredential: MD

Location Address2032 ELIZABETH AVEShreveport, LA 71104-2123

Mailing Address2032 Elizabeth AveShreveport, LA 71104-2123 · (318) 698-0035 · Fax (318) 698-0078

Phone(318) 698-0035

Fax(318) 698-0078

Sole ProprietorNo

Enumeration DateSeptember 8, 2009

Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1811220957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in LA · 325077

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License 261269 (MA)

2032 ELIZABETH AVE, Shreveport, LA 71104

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Other Identifiers 1

Medicaid110103822AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sasi Kiran Penukonda 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71104 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 5

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

HEALTH HEROES, INC.

General Practice