Subbareddy Puchalapalli, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01046393A Issued in IN

Practice address

2250 Wabash Ave
Terre Haute, IN 47807-3317

Phone

(812) 232-3225

Fax

(812) 232-4215

NPI assigned

Jul 13, 2005

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spuchalapalli@unionhealth.cernerdirect.com

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.

• Puchalapalli M D, Inc.

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1346554169
  Medicare reassignment NPD Authorized official
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD
• R.B. Gonzales Medical and Bariatric Center Inc.

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1598842254
  NPD (past)
• The Ultimate Health and Fitness, LLC

  dba Ultimate Physical Therapy

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1821056805
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Indiana, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Terre Haute, IN
  • NPI 1003937269
  Care Compare affiliation
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1184622078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073317",
            "telephone_number": "812-232-3225",
            "fax_number": "812-232-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073317",
            "telephone_number": "812-232-3225",
            "fax_number": "812-232-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHALAPALLI",
        "first_name": "SUBBAREDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046393A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200148980C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Medical Group LLC
• Providence Medical Group LLC
• Psychological & Educational Resources, Inc
• Vincent Puccia, M.D.
• Puchalapalli M D, Inc.
• Pulaski Memorial Hospital (Majestic Care of Terre Haute)
• Pulaski Memorial Hospital (Majestic Care of Deming Park)
• Amanda Purcell
• Putnam County Hospital (Harrison's Crossing Health Campus)
• Putnam County Hospital (Cobblestone Crossing Health Campus)

• Internal Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.