Organization Active NPI

Palepu Surgical Associates PC

  • Surgery Physician
  • White Oak, PA
National Provider Identifier
1285671933
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD036281L Issued in PA
Legal business name
PALEPU SURGICAL ASSOCIATES PC
Practice address
1801 Lincoln Way
White Oak, PA 15131
Phone
(412) 678-7799
Fax
(412) 678-1560
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Showri Palepu, MD
Title
Owner
Phone
(412) 678-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD036281L PA Primary

Addresses

Primary practice location

1801 Lincoln Way
White Oak, PA 15131

Mailing address

1801 Lincoln Way
White Oak, PA 15131
Phone (412) 678-7799

Other identifiers 3

IdentifierTypeStateIssuer
0006053780006MedicaidPA
441343OtherPABLUE SHIELD
61915OtherPAUNISON

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1285671933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "15131",
            "telephone_number": "412-678-7799",
            "fax_number": "412-678-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "15131",
            "telephone_number": "412-678-7799",
            "fax_number": "412-678-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALEPU SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "PALEPU",
        "authorized_official_first_name": "SHOWRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-678-7799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD036281L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006053780006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "441343",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "61915",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.