Active NPI
Lalitha Valluri, M.D.
- Specialist
- Lafayette, IN
National Provider Identifier
1124009576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01053607A
- Practice address
- 2316 South St
Lafayette, IN 47904-2971 - Phone
- (765) 742-1567
- Fax
- (765) 742-2750
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01053607A | IN | Primary |
Addresses
Primary practice location
2316 South St
Lafayette, IN 47904-2971
Mailing address
2316 South St
Lafayette, IN 47904-2971
Phone (765) 742-1567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11330984 | Other | CAQH | |
| 000000345300 | Other | ANTHEM | |
| 200496230A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Primary Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Kokomo, IN
- NPI 1982736377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1124009576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 SOUTH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042971",
"telephone_number": "765-742-1567",
"fax_number": "765-742-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 SOUTH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042971",
"telephone_number": "765-742-1567",
"fax_number": "765-742-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLURI",
"first_name": "LALITHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01053607A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11330984",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000345300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200496230A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.