Organization Active NPI

K Siripala MD & Assoc Inc

  • Internal Medicine Physician
  • Altoona, PA
National Provider Identifier
1144230590
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
K SIRIPALA MD & ASSOC INC
Practice address
312 Chestnut Ave
Altoona, PA 16601-4911
Phone
(814) 946-3500
Fax
(814) 946-5067
NPI assigned
Aug 8, 2006
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Kumbalatara A Siripala, MD
Title
President
Phone
(814) 946-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

312 Chestnut Ave
Altoona, PA 16601-4911

Mailing address

312 Chestnut Ave
Altoona, PA 16601-4911
Phone (814) 946-3500

Other identifiers 1

IdentifierTypeStateIssuer
1007473940011MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1144230590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-3500",
            "fax_number": "814-946-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014911",
            "telephone_number": "814-946-3500",
            "fax_number": "814-946-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K SIRIPALA MD & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SIRIPALA",
        "authorized_official_first_name": "KUMBALATARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-946-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007473940011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.