Sivareddy Tegulapalle, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C157742 Issued in CA

Practice address

266 S Harvard Blvd Ste 250
Los Angeles, CA 90004-4884

Phone

(213) 387-9000

Fax

(213) 387-5804

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• T S. Reddy Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

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.

• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689

  CA

  Medicare reassignment NPD
• Paul M Choi MD a California Medical Corp

  • Specialist
  • Los Angeles, CA
  • NPI 1538430509

  CA

  Medicare reassignment NPD
• Los Angeles Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1225188808
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1245302660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044884",
            "telephone_number": "213-387-9000",
            "fax_number": "213-387-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044884",
            "telephone_number": "213-387-9000",
            "fax_number": "213-387-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGULAPALLE",
        "first_name": "SIVAREDDY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301045341",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C157742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176566110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T S.",
            "last_name": "REDDY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Beth Teeters
• Pisit Teeyahirunwatana
• Namuna Tefera
• Sarah Tefera
• Harvey Tegge
• Tehrani Foot and Ankle, Inc.
• Abolghasem Tehrani, M.D.
• Ava Tehrani
• Benjamin Tehrani, D.P.M.
• Benyamin Solaiman Tehrani, PHARM. D

• All providers in Los Angeles, CA
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.