NPIMap

Individual provider Active NPI

Dwarakanath Vuppalapati, MD

  • Psychiatry Physician
  • Carson City, NV
National Provider Identifier
1063512804
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10804 Issued in NV
Practice address
1080 N. Minnesota St.
Carson City, NV 89703
Phone
(775) 445-7354
Fax
(775) 888-6233
NPI assigned
Sep 22, 2006
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10804 NV Primary
Addiction Psychiatry Physician 2084P0802X 10804 NV
Geriatric Psychiatry Physician 2084P0805X 10804 NV
Psychosomatic Medicine Physician 2084P0015X 10804 NV

Addresses

Primary practice location

1080 N. Minnesota St.
Carson City, NV 89703

Mailing address

PO Box 1811
Carson City, NV 89702-1811
Phone (775) 445-7354

Other identifiers 1

IdentifierTypeStateIssuer
1005033741MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001355 NV Practitioner - PsychiatryPractitioner - Addiction Medicine 0143204842 Reassigns benefits to 2 organizations
Practice locations: Carson City, NV

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

775 Fleischmann Way B
Carson City, NV 89703-2995
Phone (775) 885-4460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10804NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Nov 7, 2006 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Current Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Nov 7, 2006 Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
Northern Nevada Psychiatry LLC Psychiatry Past Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

Interoperability endpoints

  • Direct secure messaging: dvuppalapati124132@direct.renown.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1063512804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1811",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897021811",
            "telephone_number": "775-445-7354",
            "fax_number": "775-885-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N. MINNESOTA ST.",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "775-445-7354",
            "fax_number": "775-888-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUPPALAPATI",
        "first_name": "DWARAKANATH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10804",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NV",
            "license": "10804",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NV",
            "license": "10804",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NV",
            "license": "10804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005033741",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.