CURRICULUM VITA

MARCH ****

NAME:

SAMATHA TIPIRNENI, MD MBA

PRESENT TITLE:

PHYSICAL MEDICINE AND REHABILITATION

AND ACGME Fellowship INTERVENTIONAL PAIN MANAGEMENT

LINKEDIN: https://www.linkedin.com/in/samatha-tipirneni-11a5519

CURRENT WORK ADDRESS: UNION HEALTH AND UNION MEDICAL GROUP

PAIN CLINIC

1513 N 6th St.

Terre Haute, IN 47804

Ph# 812-***-****

adxeir@r.postjobfree.com

September 30, 2022-PRESENT

CURRENT RESIDENT ADDRESS:

Danville, Illinois 61832

Tel: 314-***-****

E-mail: adxeir@r.postjobfree.com

BIRTHDATE:

05/09/1975

CITIZENSHIP:

EDUCATION:

U.S. Citizen

Undergraduate: Washington University

One Brookings Drive Campus Box 1089

St. Louis, MO 63130

Pre-Medicine, Biology Major

8/1993-5/1994

Medical School : Sri Ramachandra Medical College and Research Institute(Deemed University) (Affiliated with Harvard Medical International)

1 Ramachandra Nagar

Chennai, Tamil Nadu India 600116

8/1994-12/2000

M.B.B.S.-Doctor of Medicine March 28, 2001

BOARD STUDY and EXAMINATION:

KAPLAN USMLE COURSE Chicago: June 2001-August 2001

USMLE Part 2 February 2002

USMLE. Part 1 August 2002

USMLE Clinical Skills Examination December 2002

CLINICAL Research Intern

Washington University St Louis

January 2003- May 2003

INTERNSHIP:

Sri Ramachandra Medical College and Research Institute (Deemed University)

Rotating Intern

January 2000-December 2000

0B/Gyn 3 mths

Pediatric 1 mth

General Surgery and Orthopedics 3 mths

Internal Medicine 2 mths

Community and Preventive Medicine 3 mths

Washington University/Barnes -Jewish Hospital One Barnes-Jewish Plaza

St. Louis, MO 63108

Internal Medicine/ Physical Medicine and

Rehabilitation Integrated Tract 6/2003-6/2004

RESIDENCY:

Physical Medicine and Rehabilitation

Washington University/ Barnes- Jewish Hospital

90-09-355 Graduate Medical Education

One Barnes-Jewish Hospital Plaza

St. Louis, MO 63110 7/1/2004-6/30/2007

FELLOWSHIP:

INTERVENTIONAL PAIN FELLOWSHIP

Emory University Hospital/Grady Hospital

Department of Anesthesiology

ACGME Accredited Pain Fellowship

Department of Anesthesiology 3 B South

1364 Clifton Road, NE

Atlanta, GA 30322

7/1/07-6/30/08

LICENSURE: State of Georgia

Georgia Composite State Board of Medical

Examiners

(current)#061527

INACTIVE

Expiration 05/31/2020

State of Indiana

Medical Licensing Board of Indiana

(current) #01063175A

ACTIVE

Expiration 10/31/2023

State of Illinois

Illinois Department of Financial and Professional

(current) 036.122308

ACTIVE

Expiration 07/31/2026

Illinois State Controlled Substance License

336083678

ACTIVE

Expiration 07/31/2023

State of Texas

(Current ) N1920

ACTIVE

Expiration 8/31/2024

State of Florida

(Current) ME126447

ACTIVE

Expiration 1/31/2024

CERTIFICATION: ECFMG Certificate issued February 19, 2003

#0-620-251-9

Valid Indefinitely

NATIONAL PRACTIONER IDENTIFIER: #159*******

Medicaid in Illinois: #036122308

DEA REGISTRATION: Active

8/13/08- 11/30/2023

BCLS 3/14/2019-3/2021 in renewal

ACLS 3/28/2019-3/2023 in renewal

PROFESSIONAL

ORGANIZATIONS: American Academy of PM&R 2004-current

American Medical Association 2004-2008

American Pain Society 2006-2009

St. Louis PM&R Society 2003-2007

North American Spine Society 2006,2007,2011

American Society of Regional Anesthesia and Pain

Medicine 2006-2009

ASA 2007-2008

The Georgia Society of Anesthesiologists, Inc 2007,

2008

American Association of Physicians of Indian Origin

AAPI 2008, 3,2014

Champaign Medical Society 2009-2020

Board Member Champaign Medical Society 2011-2020

Delegate for Illinois Medical Society 2010-2018

QUALIFYING

EXAMINATIONS:

USMLE step I(Passed), August 2002 USMLE step 2(Passed), February 2002

USMLE step 3(Passed), October 2004

CLINICAL SKILLS ASSESSMENT(Passed), December 2002

American Board of Physical Medicine and Rehabilitation PARTI (Passed) August 2013

American Board of Physical Medicine and Rehabilitation PART Il (Passed) May 2014

Board Certified in Physical Medicine and Rehabilitation

Active 7/1/2014-12/31/2024

HOSPITAL

APPOINTMENTS and Work History :

Pain Fellow

Emory University Hospital Department of Anesthesiology

Atlanta, GA 30322 7/1/2007-6/30/2008

LOCUMS TENANS:

July 2008-January 2009

Carle Clinic Hospital

602 West University Ave

Urbana, Illinois 61801

2/1/09- 6/19/2023

University of Illinois School of Medicine Urbana Campus

Clinical Instructor Faculty/STAFF

UIN # 659710731 expiration 10.31.2030

RESEARCH:

Clinical Research Functional Electrical Stimulation of Spinal Cord Injury

Dr. John McDonald and Dr. Christina Sadowsky

Washington University Spinal Cord Injury Department

St. Louis, MO

January 2003-Apri1 2003

RESIDENCY ROTATIONS:

6/21/03-12/2003 Inpatient Care in Internal Medicine, Washington University

1/2004-6/2007 Bone and Joint 2 mths

CVA/TBI 9 mths

SCI/Amputee 6 mths

Neuromuscular 1 mth Dr. Pestronk

Neuroradiology/ Bone and Joint Radiology Imth

Dr. Whipold/ Dr. Rubin

Geriatric 1 mth Dr. Carr

Neurology 1 mth Dr. Naseiff

Rheumatology 1 mth Dr. Atkinson

Infectious Disease 1 mth Dr. Medoff Musculoskeletal/ Sports and Spine 7 mths

Pediatric Rehabilitation 2 mths

Consults

3 mths

Outpatient Clinic

3 mths

NCS/EMG

3 mth2 Dr. Al-Lozi

Anesthesia Pain

2 mths Dr. Swarm

LECTURES &

PRESENTATIONS:

Presentations:

"Neuromuscular Disorders: Diagnosis and Management"

Washington University, St. Louis, MO

"Rehabilitation of Stroke Syndromes"

"Cardiac Rehabilitation"

CONFERENCES:

AMA Guidelines Evaluation Permanent Impairment rating 6th edition 10/2011

How to Write Winning Disability Report Workshop 10/2014

How to start, Build, and Run a Successful IME Practice 11/14/2016

IME Skills for Physicians: The Masters Program SEAK 11/2016

SEAK Work Compensation 2/2017

Apply New Concepts in Pain Management to Management of Pain 9/13/05

Musculoskeletal Pain: Botulinum Toxin Type A Treatment in CranioCervicothoracic Pain Conditions 8/6/05

An Interactive Physiatric Approach to the Management of Lumbar Spine

Disorders 7/24/04 Rehabilitation Institute of Chicago

Practice with the Experts: Strategies for Pain

Management with Botulinum Neurotoxin Therapy 11/7/05

North American Spine Society- Lumbar Spinal Injections: A Hands-On Course 3/2006

The Essentials of Pain Management Principle and

Practice: Scholarship Recipient Winner by American

Pain Society 5/2/2006-5/6/2006

40th Comprehensive Review Course at Baylor College of

Medicine 4/2006

Sports Medicine Workshop 10/06 Dr. Matava

American Society of Regional Anesthesia and Pain

Medicine Conference 11/16/06-11/19/06

Advanced Bionics Spinal Cord Stimulation Fellow Course Baltimore, MD 2007

Metronic Spinal Cord Stimulation Workshop 2007

American Academy of Physical Medicine and Rehabilitation Annual Conference 2010

Cervical Injection Workshop 4/2010

Ultrasound Guided Musculoskeletal Workshop 11/2010

Organizer Committee for Back Care Forum 2013, 2014

HONORS AND AWARDS:

First Class in Anatomy, Physiology, Biochemistry,

Pharmacology, Microbiology, Ophthalmology, ENT, Surgery, and Orthopedics

Children Awareness Program Coordinator 7/2000

Nephrology Benefit for Renal Transplantation 6/2000

Indian Association of Gastroendoscopic Surgery (IAGES) 1/2000

Salutorian Danville High School 1993

Teaching Appreciation Neurology Patient Sessions for 2nd year medical Students

Amputee Across America

Chief Resident of Physical Medicine and Rehabilitation 2005-2006

CONTINUING MEDICAL EDUCATION: Up to Date

MBA: MASTERS OF BUSINESS ADMINISTRATION:

AUGUST 2020- MARCH 9, 2023

GEIS SCHOOL OF BUSINESS

UNIVERSITY OF ILLINOIS URBANA, IL

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