Individual provider Active NPI

Prabhakara Rao Tumpati, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1487844148
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD432380 Issued in PA
Practice address
1718 Welsh Rd
2ND Floor, Ste C
Philadelphia, PA 19115-4213
Phone
(215) 676-2334
Fax
(215) 676-2366
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432380 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 259009 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD432380 PA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA08590300 NJ
Obesity Medicine (Internal Medicine) Physician 207RB0002X MD432380 PA

Addresses

Primary practice location

1718 Welsh Rd
2ND Floor, Ste C
Philadelphia, PA 19115-4213

Mailing address

1718 Welsh Rd
2ND Floor, Ste C
Philadelphia, PA 19115-4213
Phone (215) 676-2334

Other identifiers 4

IdentifierTypeStateIssuer
3320805000OtherPAPERSONAL CHOICE
TU2003676OtherPABLUE SHIELD
19777OtherPABRAVO
3320805000OtherPAKEYSTONE HEALTH PLAN EAST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100329000416 NJ Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Sleep Medicine 7012004492 Reassigns benefits to 1 organization
I20111109000459 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Other (Physician) 7012004492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2632 E 21St St
Brooklyn, NY 11235-2907
Phone (718) 946-5500

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Center PA CurrentSince Sep 6, 2014 Accepting new patients
Faith Medical Associates, Inc Internal Medicine Past Accepting new patients

Locations

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1487844148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "address_2": "2ND FLOOR, STE C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154213",
            "telephone_number": "215-676-2334",
            "fax_number": "215-676-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 WELSH RD",
            "address_2": "2ND FLOOR, STE C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154213",
            "telephone_number": "215-676-2334",
            "fax_number": "215-676-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMPATI",
        "first_name": "PRABHAKARA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432380",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "259009",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD432380",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA08590300",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "PA",
            "license": "MD432380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "3320805000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "TU2003676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "19777",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "3320805000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.