Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Srinivasa R Mandapalli, MD

Individual provider Internal Medicine Physician · NPI 1821316324

Dr. Srinivasa R Mandapalli, MD is an Internal Medicine in Johnson City, New York. Qualified in 2004, 22 years ago. Practices with Chenango Memorial Hospital Inc, a 109-clinician group and accepts Medicare assignment. Licensed in New York and Wisconsin.

Years since qualifying
22
Licensed in
NY, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6622
Fax: (607) 763-5064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 003985 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5426720 (WI)

Record details

NPI number1821316324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2010
Last updated in NPPESFebruary 14, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Chenango Memorial Hospital Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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