Active NPI
Prasad Korlipara. M.D.
- Gastroenterology Physician
- Fort Pierce, FL
National Provider Identifier
1386035301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME54509
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040773900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Fort Pierce, FL
- NPI 1982776142
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
- Jessica Prado Esquivel
- Javier M Prado, MD
- Oma Vanessa Prag
- Pramod Joseph Hospital Practice LLC
- Pramod Joseph MD LLC (Treasure Coast Gastro Health)
- Tummala R Prasad, MD
- Alejandra Praxedes, MS
- Precious Health Care Services Inc.
- Premier Physical Therapy Sport Medicine Inc
- Premier Plus Medical Supplies Inc
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.