Active NPI
Kishan Nallapula, MD.
- Psychiatry Physician
- Alachua, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME125648
- Practice address
- 13800 Tech City Cir Ste 320
Alachua, FL 32615-7254 - Phone
- (386) 853-4835
- Fax
- (727) 866-4393
- NPI assigned
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME125648 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 82612 | WI |
Addresses
Primary practice location
13800 Tech City Cir Ste 320
Alachua, FL 32615-7254
Mailing address
15113 NW 149TH Rd
Alachua, FL 32615-0253
Other practice location 1
8740 Orion Pl Ste 100
Columbus, OH 43240-4063
Phone (614) 515-4934
Other practice location 2
320 S. Walnut St.
Appleton, WI 54911-5918
Phone (920) 832-5270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017858600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15113 NW 146TH Rd
Alachua, FL 32615-0253
Phone (386) 853-4835
3130 SW 27TH Ave
Ocala, FL 34471-4306
Phone (352) 671-3130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82612 | WI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
Locations
13800 Tech City Cir
Ste 322
Alachua, FL 32615
Phone (386) 853-4835
3800 W Broward Blvd
Ste 100
Ft Lauderdale, FL 33312
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202
3130 SW 27th Ave
Ocala, FL 34471
Phone (352) 547-2081
2770 Indian River Blvd
Ste 324
Vero Beach, FL 32960
Phone (772) 226-6718
8740 Orion Pl
Ste 100
Columbus, OH 43240
Phone (614) 515-4934
320 S Walnut St
Appleton, WI 54911
Phone (920) 832-1624
2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600
1706 S 68th St
West Allis, WI 53214
Phone (414) 667-4800
Interoperability endpoints
- kishannallapula@tdh.allscriptsdirect.net
Organizations & group practices 17
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.
-
- Child & Adolescent Psychiatry Physician
- Alachua, FL
- NPI 1225880677
-
- Psychiatric Hospital
- Ocala, FL
- NPI 1548546864
-
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1700961646
-
- Adult Mental Health Clinic/Center
- Vero Beach, FL
- NPI 1598538712
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Appleton, WI
- NPI 1629138995
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1205944543
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1710785670
-
- Community/Behavioral Health Agency
- Gainesville, FL
- NPI 1134287154
-
- Adult Mental Health Clinic/Center
- Delray Beach, FL
- NPI 1083487201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1265710586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15113 NW 149TH RD",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326150253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 TECH CITY CIR STE 320",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326157254",
"telephone_number": "386-853-4835",
"fax_number": "727-866-4393"
}
],
"practiceLocations": [
{
"address_1": "8740 Orion Pl Ste 100",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432404063",
"country_code": "US",
"telephone_number": "614-515-4934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 S. Walnut St.",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549115918",
"country_code": "US",
"telephone_number": "920-832-5270",
"fax_number": "920-832-4767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NALLAPULA",
"first_name": "KISHAN",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-03",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME125648",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WI",
"license": "82612",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017858600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.