Individual provider Active NPI

Ashok Kumar Tripuraneni, M.D.

  • Hematology & Oncology Physician
  • Wapakoneta, OH
National Provider Identifier
1336190610
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35-075622T Issued in OH
Practice address
1015 S Blackhoof St Ste B
Wapakoneta, OH 45895-2280
Phone
(419) 998-8299
Fax
(419) 998-8266
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35075662 OH
Hematology & Oncology Physician 207RH0003X 35-075622T OH Primary

Addresses

Primary practice location

1015 S Blackhoof St Ste B
Wapakoneta, OH 45895-2280

Mailing address

PO Box 1999
Wapakoneta, OH 45895-0999
Phone (419) 998-8299

Other practice location 1

1004 S Knoxville Ave
Saint Marys, OH 45885-2607
Phone (419) 394-2724

Other identifiers 1

IdentifierTypeStateIssuer
2107839MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-075622TOHMDHematology & Oncology Physician
35075662OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Physicians Inc CurrentSince Jun 6, 2021 Accepting new patients
Lima Memorial Professional Corporation PastSince Feb 5, 2020 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company PastSince Jun 6, 2021 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients

Locations

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1015 S Blackhoof St
Ste B
Wapakoneta, OH 45895
Phone (419) 738-1655

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1336190610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1999",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458950999",
            "telephone_number": "419-998-8299",
            "fax_number": "419-998-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BLACKHOOF ST STE B",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458952280",
            "telephone_number": "419-998-8299",
            "fax_number": "419-998-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 S Knoxville Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "OH",
            "postal_code": "458852607",
            "country_code": "US",
            "telephone_number": "419-394-2724",
            "fax_number": "419-394-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPURANENI",
        "first_name": "ASHOK",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-06-01",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35075662",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35-075622T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.