Individual provider Active NPI

Sarala Ghanapuram, M.D

  • Internal Medicine Physician
  • Lincoln, CA
National Provider Identifier
1093079782
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
137432 Issued in NY
Practice address
89 Lincoln Blvd
Lincoln, CA 95648-6315
Phone
(916) 434-8800
Fax
(916) 434-2679
NPI assigned
Jun 27, 2012
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 137432 NY Primary

Addresses

Primary practice location

89 Lincoln Blvd
Lincoln, CA 95648-6315

Mailing address

89 Lincoln Blvd
Lincoln, CA 95648-6315
Phone (916) 434-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150804005299 CA Practitioner - Internal Medicine 7416174503 Reassigns benefits to 1 organization
Practice locations: Lincoln, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lincoln Medical Practice IncGroup PAC ID 2567771645, 4 clinicians

Practice addresses (Care Compare)

901 Sterling Pkwy
Suite 101
Lincoln, CA 95648-7332
Phone (916) 434-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Medical Practice Inc CurrentSince Aug 25, 2015 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

89 Lincoln Blvd
Lincoln, CA 95648
Phone (845) 542-1140

901 Sterling Pkwy
Lincoln, CA 95648

901 Sterling Pkwy
Ste 101
Lincoln, CA 95648
Phone (916) 434-8800

Interoperability endpoints

  • Direct secure messaging: sghanapuram304937@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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 5

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1093079782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LINCOLN BLVD",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486315",
            "telephone_number": "916-434-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LINCOLN BLVD",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486315",
            "telephone_number": "916-434-8800",
            "fax_number": "916-434-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANAPURAM",
        "first_name": "SARALA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "137432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

Verify at the official NPI Registry.