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

Siva Kamal Guntupalli

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619602711

Siva Kamal Guntupalli is a Family Practice in Springfield, Oregon. Qualified in 2015, 11 years ago. Practices with Praxis Health PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Springfield, OR
Fax: (541) 393-1607

Additional practice locations (1)

  • 4864 Jackson St, Monroe, LA 71202-6400 — (318) 330-7615

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD224541 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619602711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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