{"npi":"1740506229","type":"NPI-1","status":"active","name":{"display":"Dr. Sridevi Kanuri M.D.","other":[{"code":"1","type":"Formerly known as","value":"SOMPALLI, SRIDEVI"}],"first":"SRIDEVI","last":"KANURI","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"IL","license":"036123242"},{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":"IN","license":"01069685A"}]},"addresses":[{"purpose":"LOCATION","street_1":"620 W EDISON RD","city":"MISHAWAKA","state":"IN","postal_code":"465452784","country_code":"US","street_2":"STE 110","phone":"5742581100","fax":"5742581101"},{"purpose":"MAILING","street_1":"620 W EDISON RD","city":"MISHAWAKA","state":"IN","postal_code":"465452784","country_code":"US","street_2":"STE 110","phone":"5742581100","fax":"5742581101"}],"license":{"state":"IL","number":"036123242"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"201021510","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110610000248","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"IN","pac_id":"7810174331"},{"enrlmt_id":"I20220830003361","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MI","pac_id":"7810174331"},{"enrlmt_id":"I20230724002684","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"IL","pac_id":"7810174331"},{"enrlmt_id":"I20231214001758","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WA","pac_id":"7810174331"}]},"enumeration_date":"2010-04-09","last_updated":"2016-08-24","_meta":{"source":"NPPES","snapshot_date":"2016-08-24","doc_url":"https://findmynpi.com/api"}}