Organization Active NPI

Youngstown Internal Medicine, L.L.C.

  • Internal Medicine Physician
  • Canfield, OH
National Provider Identifier
1194725259
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-05-7163-R Issued in OH
Legal business name
YOUNGSTOWN INTERNAL MEDICINE, L.L.C.
Practice address
6715 Tippecanoe Rd. Building E
Suite 101
Canfield, OH 44406-8180
Phone
(330) 743-6270
Fax
(330) 743-6596
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Sudhir Kumar Nallapaneni, M.D.NPI 1477553535
Title
Owner
Phone
(330) 743-6270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-05-7163-R OH Primary

Addresses

Primary practice location

6715 Tippecanoe Rd. Building E
Suite 101
Canfield, OH 44406-8180

Mailing address

6715 Tippecanoe Rd. Building E
Suite 101
Canfield, OH 44406-8180
Phone (330) 743-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421000462 OH Part B Supplier - Clinic/Group Practice 3072509611 Receives reassigned benefits from 2 practitioners
Practice locations: Canfield, OH; Youngstown, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2171990Youngstown Internal Medicine6715 Tippecanoe Rd, Canfield, OH 44406Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

6715 Tippecanoe Rd
Ste 101
Canfield, OH 44406
Phone (330) 286-8045

8400 Market St
Youngstown, OH 44512
Phone (330) 953-3255

461 S Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 270-3468

250 Debartolo Pl
Ste 1620
Youngstown, OH 44512
Phone (330) 758-7312

602 Parmalee Ave
Ste 300
Youngstown, OH 44510
Phone (330) 743-6270

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194725259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD. BUILDING E",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-743-6270",
            "fax_number": "330-743-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD. BUILDING E",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-743-6270",
            "fax_number": "330-743-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN INTERNAL MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NALLAPANENI",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-743-6270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-7163-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.