HARSHA SAI SREEMANTULA MD
NPI 1942871678
Internal Medicine in Jackson, MS

Active since July 03, 2021PECOS EnrolledAccepts Medicare Assignment
969 LAKELAND DR, JACKSON, MS 39216(610) 237-4000 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2025, Jun 21, 2024, Jul 12, 2021 and 1 more (4 updates tracked since 2021).

About Harsha Sai Sreemantula Md NPPES

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

HARSHA SAI SREEMANTULA MD (NPI 1942871678) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (35103) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942871678
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHARSHA SAI SREEMANTULACredential: MD
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing Address1367 Stewartstown Rd Apt S06Morgantown, WV 26505-8047 · (610) 235-9053
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2021
Last NPPES UpdateJuly 16, 20254 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1942871678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 35103
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

969 LAKELAND DR, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Harsha Sai Sreemantula Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466979810
PECOS Enrollment IDI20250508001474
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.1 for a new patient copayment and $23.05 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $120.41
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $30.1
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $92.2
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $23.05
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Harsha Sai Sreemantula is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST DOMINIC-JACKSON MEMORIAL HOSPITAL969 LAKELAND DR
JACKSON, MS 39216
(601) 200-2000Acute Care Hospitals

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.

Family Medicine
969 LAKELAND DR
JACKSON, MS 39216
Long Term Care Hospital
969 LAKELAND DR, 6TH FLOOR
JACKSON, MS 39216
Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Radiology (Diagnostic Radiology)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Psychiatric/Mental Health)
969 LAKELAND DR, ST. THOMAS HALL
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942871678, enumerated as an "individual" on July 03, 2021.

The provider is located at 969 LAKELAND DR JACKSON, MS 39216 and the phone number is (610) 237-4000.

Internal Medicine with taxonomy code 207R00000X.

Harsha Sai Sreemantula is affiliated with: ST DOMINIC-JACKSON MEMORIAL HOSPITAL.