NPIMap

Individual provider Active NPI

Rakesh Reddy Tekulapally, MD

  • Hospitalist Physician
  • Lakewood, WA
National Provider Identifier
1164659793
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD60342138 Issued in WA
Practice address
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone
(253) 426-6341
Fax
(253) 426-6344
NPI assigned
Jun 22, 2009
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60342138 WA
Hospitalist Physician 208M00000X MD60342138 WA Primary

Addresses

Primary practice location

11315 Bridgeport Way SW
Lakewood, WA 98499-3004

Mailing address

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

Other identifiers 1

IdentifierTypeStateIssuer
2033015MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtekulapally807940@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131025000039 WA Practitioner - HospitalistPractitioner - Internal Medicine 4183859341 Reassigns benefits to 4 organizations
I20231005001909 OR Practitioner - HospitalistPractitioner - Internal Medicine 4183859341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-6500

202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60342138WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Franciscan Medical Group CurrentSince Sep 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 11, 2023 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients
Saint Clare Hospital Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2875 NE Stucki Ave
Hillsboro, OR 97124
Phone (866) 280-0511

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1717 S J St
#2015
Tacoma, WA 98405
Phone (253) 779-6100

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: rtekulapally605755@direct.peacehealth.org
  • Direct secure messaging: rtekulapally807940@fhsce.catholichealth.net

Organizations & group practices 11

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 6

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1164659793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993004",
            "telephone_number": "253-426-6341",
            "fax_number": "253-426-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993004",
            "telephone_number": "253-426-6341",
            "fax_number": "253-426-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKULAPALLY",
        "first_name": "RAKESH",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60342138",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60342138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033015",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtekulapally807940@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1717 S J St # MS 20-15",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.