Kandipati Sreenivasarao is a Family Medicine Physician practicing in Oak Creek, Wisconsin. The National Provider Identifier (NPI) is #1063899656, which was assigned on May 3, 2015, and the registration record was last updated on September 23, 2025. The practitioner's main practice location is at 7901 S 6th St, Oak Creek, WI 53154-2010; the contact telephone number is 4143468000. The primary taxonomy of Kandipati Sreenivasarao is Family Medicine Physician (207Q00000X). Kandipati Sreenivasarao is licensed to practice in the state of Wisconsin (#68639).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1063899656 |
| Entity Type | Individual |
| Provider Name | KANDIPATI SREENIVASARAO |
| Gender | Male |
| Credential | DO |
| Practice Address |
7901 S 6th St Oak Creek WI 53154-2010 |
| Practice Telephone | 4143468000 |
| Mailing Address |
7901 S 6th St Oak Creek WI 53154-2010 |
| Mailing Telephone | 4143468000 |
| Certification Date | 2025-09-23 |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2025-09-23 |
| Is Sole Proprietor | N |
| PAC ID |
3072808260 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KANDIPATI SREENIVASARAO |
| Primary Specialty | FAMILY PRACTICE |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Address |
3524 E Milwaukee St Janesville WI 53546-1626 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 68639 | WI |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|
| Madison Halbach · Madison Staren | 3601 S 6th Ave, Tucson, AZ 85723-0001 | Family Medicine Physician | 2025-11-08 |
| Mohsin Gelen | 10144 Vernor Hwy, Dearborn, MI 48120-1515 | Family Medicine Physician | 2025-11-07 |
| Sinai Hospital of Baltimore, Inc. | 2108 N Charles St, Baltimore, MD 21218-5709 | Family Medicine Physician | 2025-11-07 |
| A&L Medical Center, Inc. | 7400 Van Nuys Blvd Ste 111, Van Nuys, CA 91405-1972 | Family Medicine Physician | 2025-11-07 |
| Elise Kehr | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | Family Medicine Physician | 2025-11-08 |
| Apx Medical Group, Inc | 3684 Dressler Rd Nw Ste 2b, Canton, OH 44718-2781 | Family Medicine Physician | 2025-11-07 |
| Legacy Primary Health LLC | 5165 Northland Dr Ne, Grand Rapids, MI 49525-1015 | Family Medicine Physician | 2025-11-07 |
| Natasha Burton | 8889 W Olympic Blvd Ste 1002, Beverly Hills, CA 90211-3639 | Family Medicine Physician | 2025-11-06 |
| Josie Ann Oyler | 1764 W Aspen Ln, Loa, UT 84747 | Family Medicine Physician | 2025-11-07 |
| Jordan Sweet | 30 Ronnies Plz, Sappington, MO 63126-3552 | Family Medicine Physician | 2025-11-07 |
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| Street Address |
7901 S 6TH ST |
| City | OAK CREEK |
| State | WI |
| Zip Code | 53154-2010 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Drexel Town Square Surgery Center, LLC | 7901 S 6th St, Oak Creek, WI 53154-2010 | Ambulatory Surgical Clinic/Center | 2017-07-13 |
| Zachary James Valavanis | 7901 S 6th St, Oak Creek, WI 53154-2010 | Physical Therapist | 2023-04-27 |
| Froedtert Health Neighborhood Hospital, LLC | 7901 S 6th St, Oak Creek, WI 53154-2010 | General Acute Care Hospital | 2021-05-26 |
| Madison Claire Mullard | 7901 S 6th St, Oak Creek, WI 53154-2010 | Physical Therapist | 2025-05-28 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Arshmeet Mahal | 124 E Drexel Ave, Oak Creek, WI 53154-2123 | General Practice Dentistry | 2025-06-30 |
| Roundys Supermarkets Inc | 6462 S 27th St, Oak Creek, WI 53154-1036 | Pharmacy | 2009-11-19 |
| Mariah Abdel-Fattah | 7280 S 13th St Ste 202, Oak Creek, WI 53154-1831 | Mental Health Counselor | 2025-06-13 |
| Bridget P Elliott | 7901 S. 6th Street, Audiology Department, Oak Creek, WI 53154 | Audiologist | 2007-05-08 |
| Seva Home Care Inc | 934 E Rawson Ave, Oak Creek, WI 53154 | Adult Companion | 2025-03-05 |
| Claire Schwarz | 140 E Rawson Ave Ste 317, Oak Creek, WI 53154-1525 | Occupational Therapist | 2025-08-04 |
| Viking Contracting Inc. | 6968 S 13th St, Oak Creek, WI 53154-1454 | Home Modifications Contractor | 2025-07-12 |
| Mark David Warner | 7270 S 13th St, Oak Creek, WI 53154-1800 | General Practice Dentistry | 2006-08-11 |
| Colleen A. Erdmann | 545 N. 15th St., Marquette University Student Health Service, Milwaukee, WI 53154 | Physician Assistant | 2006-07-10 |
| Jessica Bisgrove Mahn | 7001 S Howell Ave, Oak Creek, WI 53154-1407 | Optometrist | 2011-06-27 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |