Individual provider Active NPI

Anil Choudary Nalluri, M.D.

  • Specialist
  • Youngstown, OH
National Provider Identifier
1467420919
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-040657 Issued in OH
Practice address
5500 Market St
Suite 128
Youngstown, OH 44512-2601
Phone
(330) 783-1147
Fax
(330) 783-3238
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-040657 OH Primary

Addresses

Primary practice location

5500 Market St
Suite 128
Youngstown, OH 44512-2601

Mailing address

5500 Market St
Suite 128
Youngstown, OH 44512-2601
Phone (330) 783-1147

Other identifiers 2

IdentifierTypeStateIssuer
0356127MedicaidOH
000098641MedicaidPA

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1467420919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST",
            "address_2": "SUITE 128",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122601",
            "telephone_number": "330-783-1147",
            "fax_number": "330-783-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST",
            "address_2": "SUITE 128",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122601",
            "telephone_number": "330-783-1147",
            "fax_number": "330-783-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLURI",
        "first_name": "ANIL",
        "middle_name": "CHOUDARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-040657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356127",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000098641",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.