Active NPI
Ashvin Reddy Garlapati, D.O.
- Dermatology Physician
- Crown Point, IN
National Provider Identifier
1417246851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 02004576A
- Practice address
- 70 W 94TH PL
Crown Point, IN 46307-1710 - Phone
- (219) 662-8822
- Fax
- (219) 662-8833
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 02004576A | IN | |
| Dermatology Physician | 207N00000X | 02004576A | IN | Primary |
Addresses
Primary practice location
70 W 94TH PL
Crown Point, IN 46307-1710
Mailing address
70 W 94TH PL
Crown Point, IN 46307-1710
Phone (219) 662-8822
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AG4582@forefrontdermatology.emadirect.md |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02004576A | IN | MD | Dermatology Physician |
Interoperability endpoints
- ag4582@forefrontdermatology.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1417246851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 W 94TH PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071710",
"telephone_number": "219-662-8822",
"fax_number": "219-662-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 W 94TH PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071710",
"telephone_number": "219-662-8822",
"fax_number": "219-662-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAPATI",
"first_name": "ASHVIN",
"middle_name": "REDDY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IN",
"license": "02004576A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "02004576A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "AG4582@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "70 W 94th Pl",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463071710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.