Active NPI
Anuradha R Mulpuri, MD
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1639147655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-125104
- Practice address
- 2150 Marble Cliff Office Park
Suite250
Columbus, OH 43215-1922 - Phone
- (614) 487-0210
- Fax
- (614) 487-0271
- NPI assigned
- Mar 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01054671A | IN | |
| Internal Medicine Physician | 207R00000X | 4301093380 | MI | |
| Internal Medicine Physician | 207R00000X | 35-125104 | OH | Primary |
Addresses
Primary practice location
2150 Marble Cliff Office Park
Suite250
Columbus, OH 43215-1922
Mailing address
2150 Marble Cliff Office Park
Suite250
Columbus, OH 43215-1922
Phone (614) 487-0210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M59880022 | Other | MI | MEDICARE PTAN |
| 1639147655 | Medicaid | MI | |
| 200338630A | 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 |
|---|---|---|---|
| 01054671A | IN | MD | Internal Medicine Physician |
| 35-125104 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1639147655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 MARBLE CLIFF OFFICE PARK",
"address_2": "SUITE250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151922",
"telephone_number": "614-487-0210",
"fax_number": "614-487-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 MARBLE CLIFF OFFICE PARK",
"address_2": "SUITE250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151922",
"telephone_number": "614-487-0210",
"fax_number": "614-487-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULPURI",
"first_name": "ANURADHA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01054671A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301093380",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-125104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M59880022",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639147655",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200338630A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.