Dr. Lourdu Sireesha Pentareddy, MD
Internal Medicine in New Rochelle, NY. Individual provider (NPI-1).
NPI number1336600014
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1336600014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lourdu Sireesha Pentareddy
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2019
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD478602 | PA | Yes |
Practice location
16 Guion PlNew Rochelle, NY 10801-5502
Phone 914-365-3680 · Fax 914-365-5489
Mailing address
16 Guion PlNew Rochelle, NY 10801-5502
Phone 914-365-3680 · Fax 914-365-5489
Is something wrong?
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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