Individual ProviderShireesha SangineniFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address405 Owen Dr, Fayetteville, NC 28304(910) 323-3183PECOS EnrollmentBased on the most recent information from CMS, provider Shireesha Sangineni is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1578791422Provider TypeIndividualFull NameSangineni, ShireeshaTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date6/30/2009Last Updated6/9/2025Contact InformationPractice LocationPractice Address405 Owen Dr, Fayetteville, NC 28304Phone(910) 323-3183Fax(910) 745-8478Mailing LocationMailing Address405 Owen Dr, Fayetteville, NC 28304-3411Phone(910) 323-3183Fax(910) 745-8478Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense4301095106Michigan