Individual provider Active NPI

Kishan Nallapula, MD.

  • Psychiatry Physician
  • Alachua, FL
National Provider Identifier
1265710586
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME125648 Issued in FL
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

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
017858600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160913002913 FL Practitioner - Psychiatry 3678708773 Reassigns benefits to 7 organizations
I20231023001311 WI Practitioner - Psychiatry 3678708773 Reassigns benefits to 3 organizations
I20260106000400 OH Practitioner - Psychiatry 3678708773 Reassigns benefits to 1 organization

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
Ocala Behavioral Health LLCGroup PAC ID 0244303014, 11 clinicians

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

LicenseStateTypeSpecialty
82612WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Behavioral Health LLC CurrentSince Sep 16, 2022 Accepting new patients
Florida Center for Psychiatric Services, PLLC CurrentSince Sep 1, 2024 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Jan 31, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility CurrentSince Sep 11, 2023 Accepting new patients
Mindtrain Psychiatry and Consulting PLLC Child & Adolescent Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2016 Accepting new patients
Ohio Center for Behavioral Health LLC CurrentSince Sep 25, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2016 Accepting new patients
Florida Center for Psychiatric Services, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Chrysalis Center, LLC CurrentSince Nov 1, 2023 Accepting new patients
County of Outagamie CurrentSince Oct 24, 2024 Accepting new patients
Human Services Board Serving North Central Health Care Facility Current Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Sep 11, 2023 Accepting new patients
Milwaukee Behavioral Health LLC Psychiatry CurrentSince Mar 6, 2024 Accepting new patients
Amigos on the Spectrum CurrentSince Sep 25, 2025 Accepting new patients

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

  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.