NPIMap

Individual provider Active NPI

Vikas Shashidhar Reddy Koppurapu

  • Pulmonary Disease Physician
  • La Crosse, WI
National Provider Identifier
1235512922
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
74948 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 10

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center Inc 888 clinicians
Gundersen Clinic LTD 422 clinicians

Practice addresses (Care Compare)

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

Hospital & facility affiliations

  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • Vernon Memorial Hospital Hospital, Viroqua, WI, CCN 521348
  • Gundersen St Josephs Hospital and Clinics Hospital, Hillsboro, WI, CCN 521304
  • Gundersen Boscobel Area Hospital and Clinics Hospital, Boscobel, WI, CCN 521344

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210809000818 WI Practitioner - Internal Medicine 3678880580 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74948WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Dec 1, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Internal Medicine Current Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jul 18, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 27, 2021 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 7, 2022 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jul 27, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jul 18, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 27, 2021 Accepting new patients
Gundersen Clinic LTD CurrentSince Jul 27, 2021 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 18, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Feb 7, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jul 18, 2022 Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74948 WI
Pulmonary Disease Physician 207RP1001X 74948 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

4601 W Markham St Apt 4251
Little Rock, AR 72205-3875
Phone (469) 803-2026

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2022.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1235512922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 W Markham St Apt 4251",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722053875",
            "country_code": "US",
            "telephone_number": "469-803-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPPURAPU",
        "first_name": "VIKAS",
        "middle_name": "SHASHIDHAR REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "74948",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "74948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.