NPIMap

Individual provider Active NPI

Lakshmi Prathipati, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1245338490
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A47821 Issued in CA
Practice address
4276 54TH PL Ste B
San Diego, CA 92115-6011
Phone
(619) 286-3222
Fax
(619) 286-3223
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A47821 CA Primary

Addresses

Primary practice location

4276 54TH PL Ste B
San Diego, CA 92115-6011

Mailing address

4276 54TH PL Ste B
San Diego, CA 92115-6011
Phone (619) 286-3222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000430 CA Practitioner - Internal Medicine 4183796287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kumara Prathipati MD IncGroup PAC ID 0547220675, 2 clinicians

Practice addresses (Care Compare)

4276 54TH PL
Suite B
San Diego, CA 92115-6011
Phone (619) 286-3222

4276 54TH PL B
San Diego, CA 92115-6011

502 S Euclid Ave
Suite 203
National City, CA 91950-2988

Hospital & facility affiliations

  • Uni Care Home Health Inc Home health agency, Escondido, CA, CCN 757849
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Paradise Valley Hospital Hospital, National City, CA, CCN 050024

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as individual
Quality
68.85
Improvement activities
40
Cost
76.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A47821CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Jun 6, 2016 Accepting new patients
Kumara Prathipati, M.D.,Inc Internal Medicine CurrentSince Jan 1, 1993 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jun 6, 2016 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

502 Euclid Ave
Ste 203
National City, CA 91950
Phone (619) 405-6307

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

4276 54th Pl
Ste B
San Diego, CA 92115
Phone (619) 286-3222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lprathipati@euclidave.adaptamed.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1245338490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 54TH PL STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156011",
            "telephone_number": "619-286-3222",
            "fax_number": "619-286-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 54TH PL STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156011",
            "telephone_number": "619-286-3222",
            "fax_number": "619-286-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHIPATI",
        "first_name": "LAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A47821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.