Sambasiva Rao Marupudi, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

G4168 Issued in TX

Practice address

800 Quail Creek Drive
Suite #103
Amarillo, TX 79124-1634

Phone

(806) 358-7911

Fax

(806) 358-9600

NPI assigned

Jul 2, 2006

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Colorectal Surgery (Proctology)

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFEBDD/Endpoint/JFEBDD
• Direct secure messaging: smarupudi84264@ahs.direct-ci.com

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.

• Amarillo Colon and Rectal Clinic PA

  • Colon & Rectal Surgery Physician
  • Amarillo, TX
  • NPI 1992711329
  Medicare reassignment Authorized official
• Amarillo Colonoscopy Center LP

  dba Panhandle Endoscopy Center LP

  • Ambulatory Surgical Clinic/Center
  • Amarillo, TX
  • NPI 1083643852
  Authorized official Same address or phone

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Physicians Surgical Hospitals, LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1912948845
  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1629007414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DRIVE",
            "address_2": "SUITE #103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-358-7911",
            "fax_number": "806-358-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 QUAIL CREEK DRIVE",
            "address_2": "SUITE #103",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241634",
            "telephone_number": "806-358-7911",
            "fax_number": "806-358-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUPUDI",
        "first_name": "SAMBASIVA",
        "middle_name": "RAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "G4168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K8370",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00125078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "4018116",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097428903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Martinez, PT, DPT
• Robert Daniel Martinez Jr.
• Robin Elaine Martinez, MD
• Stephane Le Ann Martinez, LCSW
• Vincent Martinez
• Cyd Marusak, OT
• Mary Ann Piskun, MD, PLLC
• Mary S Strong Creative Community Counseling
• Vaishali Shrikant Mashruwala, M.D.
• Jerry Mask, D.C.

• Colon & Rectal Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.

Verify at the official NPI Registry.