DR. SASI KIRAN PENUKONDA (NPI# 1811220957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811220957 |
| Entity Type | Individual |
| Full Name | DR. SASI KIRAN PENUKONDA |
| Credential | MD |
| Practice Address |
305 Bicentennial Hwy Connecticut Childrens Medical Center Springfield MA 01118-1962 |
| Practice Telephone | 4137334101 |
| Practice Fax Number | 4137966821 |
| Mailing Telephone | 4137334101 |
| Mailing Fax Number | 4137966821 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 261269 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110103822A | 05 |
| Street Address |
305 BICENTENNIAL HWY CONNECTICUT CHILDRENS MEDICAL CENTER |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01118-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512735 | Hyoungsup Park | Family Medicine | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2005-10-17 |
| 1952948176 | Alireza Jarihi | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2019-12-06 |
| 1366925919 | Christopher Brian Cooper | Physician Assistant | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2018-09-10 |
| 1366826885 | Mary Konefal | Physician Assistant | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2015-07-14 |
| 1821401225 | Sarah Morrissey | Obstetrics & Gynecology | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2014-06-04 |
| 1194078329 | Mary Catherine Carpenter | Registered Nurse | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-10-25 |
| 1275891822 | Elizabeth Anne Rottenberg | Obstetrics & Gynecology | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-05-01 |
| 1508143231 | Teresa Anne Svart | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-11-09 |
| 1396039343 | Jennifer J Piel | Internal Medicine | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-06-07 |
| 1306137906 | Kyle W Bruce | Podiatrist | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061036 | Elizabeth Light | Social Worker | 211 S Branch Pkwy, Springfield, MA 01118 | 2017-09-01 |
| 1336507300 | Carla Vieu | Counselor | 25 Pebblemill Rd, Springfield, MA 01118 | 2016-02-05 |
| 1811309172 | Kristin Espinosa | Counselor | 1325 Allen St, Springfield, MA 01118 | 2014-05-21 |
| 1578903969 | Erica Begley | Social Worker | 51 Wexford Street, Springfield, MA 01118 | 2013-06-28 |
| 1568761260 | David Stuart Bloomberg | Pharmacist | 126 Island Pond Road, Springfield, MA 01118 | 2011-03-21 |
| 1376665554 | Robins Eyecare, LLC | Optometrist | 1268 Sumner Ave., Springfield, MA 01118 | 2007-04-06 |
| 1821163312 | Mary Ann Celentano | Optometrist | 305 Bicentennial Highway, Springfield, MA 01118 | 2006-11-21 |
| 1508951054 | Marcus Anthony Lopez | Dentist | 1235 Sumner Ave, Springfield, MA 01118 | 2006-10-03 |
| 1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
| 1093773814 | Christine A Sickle | Pediatrics | 1515 Allen St, Suite B, Sumner Pediatrics, PC, Springfield, MA 01118 | 2006-05-02 |
| Find all providers in zip 01118 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1306208368 | Mckenzie Smith | Pediatrics | 2115 S Fremont Ave Ste 2900, Springfield, MO 65804-2233 | 2016-03-28 |
| 1790181402 | Sonam Verma | Pediatrics | 400 N 9th St # 4a, Springfield, IL 62702-5310 | 2014-11-06 |
| 1619382132 | Eric D Mcfeely | Pediatrics | 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 | 2014-06-23 |
| 1073923231 | Charlotte Mcknight | Pediatrics | 6120 Brandon Ave Ste 308, Springfield, VA 22150-2504 | 2014-04-28 |
| 1336437078 | Rashmi Jain | Pediatrics | 1965 S Fremont Ave Ste 260, Springfield, MO 65804-2257 | 2011-07-15 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1649581570 | Kendra Suzanne Woods | Pediatrics | 415 N 9th St Ste 2w126, Springfield, IL 62702-5303 | 2010-06-25 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1417105024 | Stephen Edward Saunders | Pediatrics | 5 Orchard Ln, Springfield, IL 62712-8911 | 2008-09-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.