Active NPI
Vijaya Sripathy, MD
- General Practice Physician
- Carlyle, IL
National Provider Identifier
1508925652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01040974A
- Practice address
- 18209 Eula Mae Pkwy
Carlyle, IL 62231-6407 - Phone
- (812) 238-3800
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01040974A | IN | Primary |
Addresses
Primary practice location
18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Mailing address
18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Phone (812) 238-3800
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040974A | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Medical Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Terre Haute, IN
- NPI 1073738639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1508925652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18209 EULA MAE PKWY",
"city": "CARLYLE",
"state": "IL",
"postal_code": "622316407",
"telephone_number": "812-238-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18209 EULA MAE PKWY",
"city": "CARLYLE",
"state": "IL",
"postal_code": "622316407",
"telephone_number": "812-238-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIPATHY",
"first_name": "VIJAYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01040974A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlyle, IL
- Jeffrey A Schatz, D.C.
- Brandy J Scheer, APRN
- Lori Kay Schniers
- Jamie Marie Seiffert, PHARMD
- Holly Renee Shoesmith, PTA
- St Josephs Hospital Breese of the Hospital Sisters of the Third Orde (Clinton County Rural Health Carlyle)
- St Josephs Hospital Breese of the Hospital Sisters of the Third Orde
- Bridgett M Stark
- Windy Lee Stone, CCC-SLP
- The Residential Developers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.