Individual provider Active NPI

Sudhakar Nadipally, M.B.B.S.,M.P.H.,M.D.

  • Family Medicine Physician
  • Kerman, CA
National Provider Identifier
1114227733
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A116136 Issued in CA
Practice address
449 S Madera Ave
Kerman Health Center Valley Health Team
Kerman, CA 93630-1537
Phone
(208) 540-1070
NPI assigned
Oct 29, 2010
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A116136 CA Primary

Addresses

Primary practice location

449 S Madera Ave
Kerman Health Center Valley Health Team
Kerman, CA 93630-1537

Mailing address

449 S Madera Ave
Kerman Health Center Valley Health Team
Kerman, CA 93630-1537
Phone (208) 540-1070

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
I20180618002556 CA Order and Referring Only - Family PracticePractitioner - Family Practice 2062682909

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Team, Inc.Group PAC ID 2365588902, shared by 11 NPIs, 14 clinicians

Practice addresses (Care Compare)

449 S Madera Ave
Kerman, CA 93630-1537
Phone (559) 846-9359

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116136CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Valley Health Team, Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sudhakar.nadipally.p4@direct.vht.nextgenshare.com

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 1

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1114227733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 S MADERA AVE",
            "address_2": "KERMAN HEALTH CENTER VALLEY HEALTH TEAM",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301537",
            "telephone_number": "208-540-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S MADERA AVE",
            "address_2": "KERMAN HEALTH CENTER VALLEY HEALTH TEAM",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301537",
            "telephone_number": "208-540-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIPALLY",
        "first_name": "SUDHAKAR",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.,M.P.H.,M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerman, CA

Sources for this page

Verify at the official NPI Registry.