Purnachandra R Popuri, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

166839-1 Issued in NY

Practice address

225 Broad St
Oneida, NY 13421-2147

Phone

(315) 363-9064

Fax

(315) 363-6673

NPI assigned

Jul 25, 2006

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1447273396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROAD ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212147",
            "telephone_number": "315-363-9064",
            "fax_number": "315-363-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROAD ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212147",
            "telephone_number": "315-363-9064",
            "fax_number": "315-363-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPURI",
        "first_name": "PURNACHANDRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166839-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01109580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph John Pierz, MD
• Gene C Pietromonica
• Jon Pilipczuk
• Kimberly Ann Pisarczyk, NP
• Patricia M Planck, DH
• Janet Prince, MSW
• Elaine Janet Przybylski, DC
• Gerald Joseph Przybylski, DC
• Psychplus Associates of New York PLLC
• Brittany Jade Pugh, PA

• Internal Medicine Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.