Active NPI
Sasikala Vemulapalli, MD
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1528253226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01068581A
- Practice address
- 6819 Lima Rd
Fort Wayne, IN 46818-1145 - Phone
- (260) 969-6200
- Fax
- (260) 969-6201
- NPI assigned
- Sep 6, 2007
- Last updated
- Mar 18, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01068581A | IN | Primary |
Addresses
Primary practice location
6819 Lima Rd
Fort Wayne, IN 46818-1145
Mailing address
PO Box 8857
Fort Wayne, IN 46898-8857
Phone (260) 969-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200994720 | Medicaid | IN |
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 |
|---|---|---|---|
| 01068581A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Genesys Hospital | Past | Accepting new patients | |
| Kimberly Ann Alabi-Isama | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
Organizations & group practices 2
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.
-
dba Ascension Genesys Short Term Rehabilitation Center
- Skilled Nursing Facility
- Grand Blanc, MI
- NPI 1093125312
-
- Mental Illness Community Based Residential Treatment Facility
- Flint, MI
- NPI 1881871895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1528253226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8857",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468988857",
"telephone_number": "260-969-6200",
"fax_number": "260-969-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6819 LIMA RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468181145",
"telephone_number": "260-969-6200",
"fax_number": "260-969-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMULAPALLI",
"first_name": "SASIKALA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01068581A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200994720",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.