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Sripada Kondur, PA

Physician Assistant in Rochester, NY. Individual provider (NPI-1).

NPI number1063248367
StatusActive
Last updated in NPPESMay 13, 2025

Details

NPI
1063248367
Entity type
Individual (NPI-1)
Name
Sripada Kondur
Credential
PA
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 12, 2024
Certification date
May 13, 2025
Last updated
May 13, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant033748NYYes
363A00000X Physician Assistant––

Practice location

601 Elmwood Avenue Box 619-13
Rochester, NY 14642-5965

Phone 585-275-2100

Mailing address

601 Elmwood Ave
Rochester, NY 14642-0002

Phone 585-275-2100

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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