SIRISH KUMAR KONDABOLU
NPI 1821354176
Orthopaedic Surgery in Lebanon, PA

Active since April 11, 2012PECOS Enrolled
912 RUSSELL DR, LEBANON, PA 17042(717) 272-7971(717) 272-1241 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sirish Kumar Kondabolu NPPES

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

SIRISH KUMAR KONDABOLU (NPI 1821354176) is an individual orthopaedic surgery provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD465257) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1821354176
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSIRISH KUMAR KONDABOLU
Location Address912 RUSSELL DRLebanon, PA 17042
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Fax(717) 272-1241
Sole ProprietorNo
Enumeration DateApril 11, 2012
Last NPPES UpdateJanuary 18, 2019
NPI 1821354176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in PA · MD465257 Licensed in NY · 275452
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

912 RUSSELL DR, Lebanon, PA 17042

Secondary Practice Location 1

Location 1Stony Brook University Medical Center, Department of Orthopaedics, HSC T-18Stony Brook, NY 11794-8181 · Phone (631) 444-1487

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sirish Kumar Kondabolu 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 17042 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 20

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

Anesthesiology
912 RUSSELL DR
LEBANON, PA 17042
Anesthesiology
912 RUSSELL DR
LEBANON, PA 17042
Physician Assistant
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Family Medicine (Sports Medicine)
912 RUSSELL DR
LEBANON, PA 17042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821354176, enumerated as an "individual" on April 11, 2012.

The provider is located at 912 RUSSELL DR LEBANON, PA 17042 and the phone number is (717) 272-7971.

Orthopaedic Surgery with taxonomy code 207X00000X.