Active NPI
Sai Giridhar Gundepalli, MBBS
- Internal Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.143105
- Practice address
- 460 W 10TH Ave Dept of
Columbus, OH 43210-1240 - Phone
- (800) 293-5066
- NPI assigned
- Jul 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8252 | NE | |
| Internal Medicine Physician | 207R00000X | 35.143105 | OH | Primary |
Addresses
Primary practice location
460 W 10TH Ave Dept of
Columbus, OH 43210-1240
Mailing address
7710 Mercy Road, Cu Department of Internal Medicine
Suite 202
Omaha, NE 68124-2353
Phone (402) 280-4392
Other practice location 1
7710 Mercy Road, CU Department of Internal Medicine
Suite 202
Omaha, NE 68124-2353
Phone (402) 280-4392
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgundepalli52795@direct.crmcwy.org | Direct | Memorial Hospital of Laramie County |
| Direct Messaging Address | sgundepalli52795@direct.crmcwy.org | Health Information Exchange (HIE) | Memorial Hospital of Laramie County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
Hospital & facility affiliations
- Banner - University Medical Center Tucson Campus
- Banner-University Medical Center South Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8252 | NE | MD | Internal Medicine Physician |
| 35.143105 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Family Medicine | Current | Accepting new patients |
| Summit Hospitalist Group LLC | Current | Accepting new patients | |
| Banner - University Medical Center Tucson Campus LLC | Past | Accepting new patients | |
| Banner - University Medical Center South Campus LLC | Past | Accepting new patients | |
| Rural Family Physicians | Past | Accepting new patients |
Locations
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221
Interoperability endpoints
- sgundepalli52795@direct.crmcwy.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Family Medicine
-
- Hospitalist Physician
- Cheyenne, WY
- NPI 1356985600
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Critical Access Hospital Clinic/Center
- Denver, CO
- NPI 1881261774
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1922660182
Hospital
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1861102881
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1477048593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 MERCY ROAD, CU DEPARTMENT OF INTERNAL MEDICINE",
"address_2": "SUITE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242353",
"telephone_number": "402-280-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 10TH AVE DEPT OF",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "800-293-5066"
}
],
"practiceLocations": [
{
"address_1": "7710 Mercy Road, CU Department of Internal Medicine",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681242353",
"country_code": "US",
"telephone_number": "402-280-4392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNDEPALLI",
"first_name": "SAI GIRIDHAR",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-01",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "8252",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.143105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgundepalli52795@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "460 W 10th Ave Dept Of",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432101240",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgundepalli52795@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "460 W 10th Ave Dept Of",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432101240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.