Look up the most recent NPI and PECOS records

Sirisha Gaddipati

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Sirisha Gaddipati is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1093464273
Provider Type
Individual
Full Name
Gaddipati, Sirisha
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/23/2022
Last Updated
4/13/2025

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 585-4310

Unlisted Fax

Mailing Location

1611 NW 12th Ave # C-600, Miami, FL 33136-1005

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 172723 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Sirisha Gaddipati

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mendez, Paul E

Woodley-Pearson, Liana Marie

Zaw, Khin M

Corredera, Erica

Public Health Trust Of Dade County Florida

Berbel Caban, Ana Beatriz

Milanes, Samantha Lynn

Gummalla, Raja Ramesh

Wine, Harry Louis

Obid, Samer