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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: October 18, 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
Phone(610) 237-4000
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Harsha Sai Sreemantula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rh Mississippi Hospitalist Medicine, LLC
Same address
Hospitalist
969 LAKELAND DR
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 109 clinicians in this Medicare group
NPI 1891541207 (601) 200-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

HNI MEDICAL SERVICES OF MISSISSIPPI, LLC
Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-6000
TAMECIA HERBERT NURSE PRACTITIONER
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 622-7749
ZACHARY HALLIWELL CRNA
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
BRITTANY BOYKIN FNP-C
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-5900
LISA PARKER
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
SARAH D BAKER
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000
MARSHALL JAMES STOUT M.D.
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 200-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harsha Sai Sreemantula's NPI number?

The NPI number for Harsha Sai Sreemantula is 1942871678. It was assigned to this individual provider in the NPPES registry on July 3, 2021.

Where is Harsha Sai Sreemantula located?

Harsha Sai Sreemantula practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (610) 237-4000.

What is Harsha Sai Sreemantula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Harsha Sai Sreemantula enrolled in Medicare?

Yes. Harsha Sai Sreemantula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Harsha Sai Sreemantula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harsha Sai Sreemantula reassigns Medicare benefits to Rh Mississippi Hospitalist Medicine, LLC (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harsha Sai Sreemantula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Harsha Sai Sreemantula affiliated with any hospitals?

According to CMS data, Harsha Sai Sreemantula is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Harsha Sai Sreemantula was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.