| Dr Srinath Chinnakotla, MD | |
|
516 Delaware St Se, Minneapolis, MN 55455-0356 | |
| (612) 626-6100 | |
| Not Available |
| Full Name | Dr Srinath Chinnakotla |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 516 Delaware St Se, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376579698 | NPI | - | NPPES |
| 8H3714 | Other | TX | BCBS |
| 1487852-03 | Medicaid | TX | |
| 1487852-04 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 204F00000X | Transplant Surgery | L2843 (Texas) | Secondary |
| 204F00000X | Transplant Surgery | 52651 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Hospital University | Minneapolis, MN | Hospital |
| M Health Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1946 |
| Entity Name | University of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University of Minnesota Health Clinics and Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srinath Chinnakotla, MD 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455-0341 Ph: (612) 625-3373 | Dr Srinath Chinnakotla, MD 516 Delaware St Se, Minneapolis, MN 55455-0356 Ph: (612) 626-6100 |