Organization Active NPI

Prasad Korlipara. M.D.

  • Gastroenterology Physician
  • Fort Pierce, FL
National Provider Identifier
1386035301
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME54509 Issued in FL
Legal business name
PRASAD KORLIPARA. M.D.
Practice address
1331 N Lawnwood Cir
Fort Pierce, FL 34950-4825
Phone
(772) 489-5900
Fax
(772) 489-2086
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Anjanaya Prasad Rao Korlipara, M.D.NPI 1982776142
Title
Owner
Phone
(772) 489-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME54509 FL Primary

Addresses

Primary practice location

1331 N Lawnwood Cir
Fort Pierce, FL 34950-4825

Mailing address

1331 N Lawnwood Cir
Fort Pierce, FL 34950-4825
Phone (772) 489-5900

Other identifiers 1

IdentifierTypeStateIssuer
040773900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1331 N Lawnwood Cir
Fort Pierce, FL 34950
Phone (772) 429-5202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1386035301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504825",
            "telephone_number": "772-489-5900",
            "fax_number": "772-489-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504825",
            "telephone_number": "772-489-5900",
            "fax_number": "772-489-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD KORLIPARA. M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "KORLIPARA",
        "authorized_official_first_name": "ANJANAYA PRASAD",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-489-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME54509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040773900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.