Active NPI
Himabindu Chinnepalli, MD
- Adult Medicine Physician
- Dublin, CA
National Provider Identifier
1134858426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 0101239696
- Practice address
- 11501 Dublin Blvd Ste 200
Dublin, CA 94568-2827 - Phone
- (510) 284-5400
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 0101239696 | VA | Primary |
Addresses
Primary practice location
11501 Dublin Blvd Ste 200
Dublin, CA 94568-2827
Mailing address
408 Tulip Residency
Cherlopalli
Tirupati, ANDHRAPRADESH 517505
IN
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022046533 | Other | MO | MEDICAL LICENSE |
| TPME4783 | Other | FL | MEDICAL LICENSE |
Other names 1
- Himabindu Chinnepalli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239696 | VA | MD | Adult Medicine Physician |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1134858426",
"addresses": [
{
"country_code": "IN",
"country_name": "India",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "408 TULIP RESIDENCY",
"address_2": "CHERLOPALLI",
"city": "TIRUPATI",
"state": "ANDHRAPRADESH",
"postal_code": "517505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 DUBLIN BLVD STE 200",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682827",
"telephone_number": "510-284-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINNEPALLI",
"first_name": "HIMABINDU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "VA",
"license": "0101239696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "2022046533",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "TPME4783",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HIMABINDU",
"last_name": "CHINNEPALLI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.