Individual provider Active NPI

Annapurna Korimilli, M.D.

  • Gastroenterology Physician
  • Limerick, PA
National Provider Identifier
1053556167
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD425031 Issued in PA
Practice address
420 W Linfield Trappe Rd
Suite 100
Limerick, PA 19468-4278
Phone
(484) 938-4030
NPI assigned
Dec 4, 2008
Last updated
May 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD425031 PA Primary

Addresses

Primary practice location

420 W Linfield Trappe Rd
Suite 100
Limerick, PA 19468-4278

Mailing address

PO Box 525
Phoenixville, PA 19460-0525
Phone (610) 933-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000344 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 1759346588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W Linfield Trappe Rd
Gastroenterology Limerick
Limerick, PA 19468-4279
Phone (484) 938-4030

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

824 Main St
Phoenixville, PA 19460-4478

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy313
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jan 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Endoscopy Associates of Valley Forge, LLC Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Gastroenterology Past Accepting new patients

Locations

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

420 W Linfield Trappe Rd
Ste 200
Royersford, PA 19468
Phone (610) 495-2300

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1053556167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194600525",
            "telephone_number": "610-933-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LINFIELD TRAPPE RD",
            "address_2": "SUITE 100",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194684278",
            "telephone_number": "484-938-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIMILLI",
        "first_name": "ANNAPURNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD425031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

Verify at the official NPI Registry.