Kumbalatara A Siripala (NPI# 1790702330, PAC ID# 1658326962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1790702330 |
| PAC ID by PECOS | 1658326962 |
| Professional Enrollment ID | I20050718000311 |
| Full Name | Kumbalatara A Siripala |
| Organization Legal Name | BLAIR NEPHROLOGY ASSOC INC |
| Address |
141 Memorial Dr Everett PA 15537-7030 |
| Phone Number | 8149463500 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1968 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 6305884800 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390056 | J C BLAIR MEMORIAL HOSPITAL |
| 390117 | UPMC BEDFORD MEMORIAL |
| 390073 | UPMC ALTOONA |
| Address | Phone | Organization |
|---|---|---|
| 312 Chestnut Ave, Altoona, PA 16601-4911 | 8149463500 | BLAIR NEPHROLOGY ASSOC INC |
| 141 Memorial Dr, Everett, PA 15537-7030 | 8149463500 | BLAIR NEPHROLOGY ASSOC INC |
| 820 Bryan St, Suite 3, Huntingdon, PA 16652-2409 | 8149463500 | BLAIR NEPHROLOGY ASSOC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | BLAIR NEPHROLOGY ASSOC INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duminda S Siripala | Internal Medicine | Blair Nephrology Assoc Inc | 312 Chestnut Ave, Altoona, PA 16601-4911 |
| Street Address |
141 MEMORIAL DR |
| City | EVERETT |
| State | PA |
| Zip | 15537-7030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammie F Payne | Nurse Practitioner | Upmc Community Medicine Inc | 300 N Spring St, George M Zubak Upmc, Everett, PA 15537-1011 |
| Teresa Jayne Steele | Clinical Social Worker | 110 W Main St, Everett, PA 15537-1131 | |
| Lucille B Aiken | Internal Medicine | Upmc Community Medicine Inc | 220 W Main St, Torres Women and Family Medical Group, Everett, PA 15537-1134 |
| Ernesto M De Las Alas | Internal Medicine | Upmc Community Medicine Inc | 220 W Main St, Torres Women and Family Medical Group, Everett, PA 15537-1134 |
| Robin Hogenmiller | Nurse Practitioner | Upmc Community Medicine Inc | 220 W Main St, Torres Women and Family Medical Group, Everett, PA 15537-1134 |
| Susan B Hainley | Family Practice | Upmc Community Medicine Inc | 220 W Main St, Torres Women and Family Medical Group, Everett, PA 15537-1134 |
| Jessica S Stone | Optometry | 141 E Main St, Everett, PA 15537-1259 | |
| Mark Steven Rakoczy | Optometry | 141 E Main St, Everett, PA 15537-1259 | |
| Jeffrey C Territo | Optometry | 111 Fairview St, Everett, PA 15537-6337 | |
| Andrea L Lacki | Physician Assistant | University Orthopedics Center, Ltd | 125 Willow Grove Dr, Everett, PA 15537-6932 |
| Find all physicians in zip 15537 | |||
| City | EVERETT |
| Zip Code | 15537 |
| Specialty | NEPHROLOGY |
| City + Specialty | EVERETT + NEPHROLOGY |
Please comment or provide details below to improve the information on Kumbalatara A Siripala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.