NPIMap

Individual provider Active NPI

Vinay C Tumuluri, MD

  • Internal Medicine Physician
  • La Porte, IN
National Provider Identifier
1528015344
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01058863A Issued in IN
Practice address
7002 W Johnson Rd
La Porte, IN 46350-8289
Phone
(219) 325-0604
Fax
(219) 879-1401
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01058863 IN
Internal Medicine Physician 207R00000X 01058863A IN Primary

Addresses

Primary practice location

7002 W Johnson Rd
La Porte, IN 46350-8289

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 326-2312

Other identifiers 2

IdentifierTypeStateIssuer
200505840MedicaidIN
000000489697OtherINANTHEM. BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VinayC.Tumuluri@laportehosp.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101001170 IN Practitioner - Internal Medicine 5496717431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

7002 W Johnson Rd
La Porte, IN 46350-8289
Phone (219) 325-0604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01058863AINMDInternal Medicine Physician
01058863INMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Jan 5, 2023 Accepting new patients
Northwest Hospitalist Physicians, LLP CurrentSince Nov 1, 2015 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2016 Accepting new patients
Northwest Hospitalist Physicians LLP Hospitalist CurrentSince Nov 1, 2015 Accepting new patients
La Porte Clinic Company LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
La Porte Hospital Past Accepting new patients
Medical Health Services, Inc Internal Medicine Past Accepting new patients
Indiana Hospitalists, PC Internal Medicine Past Accepting new patients

Locations

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

7002 W Johnson Rd
La Porte, IN 46350
Phone (219) 325-0604

1331 State St
Ste 340
La Porte, IN 46350
Phone (219) 324-0875

311 Boyd Blvd
Laporte, IN 46350
Phone (219) 326-2654

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

6923 W 400 N
Michigan City, IN 46360
Phone (219) 325-0604

3777 N Frontage Rd
Ste 300
Michigan City, IN 46360
Phone (219) 872-7546

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Interoperability endpoints

  • Direct secure messaging: vinayc.tumuluri@laportehosp.cernerdirect.com

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1528015344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 KELLE DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048708",
            "telephone_number": "219-326-2312",
            "fax_number": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 W JOHNSON RD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463508289",
            "telephone_number": "219-325-0604",
            "fax_number": "219-879-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMULURI",
        "first_name": "VINAY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01058863",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01058863A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200505840",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM. BCBS",
            "identifier": "000000489697",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VinayC.Tumuluri@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7002 W Johnson Rd",
            "city": "LA Porte",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463508289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.