Individual provider Active NPI

Vijay A Rupanagudi, MD

  • Pulmonary Disease Physician
  • Cookeville, TN
National Provider Identifier
1649290404
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD45978 Issued in TN
Practice address
135 W 3Rd St
Cookeville, TN 38501-2478
Phone
(931) 202-3697
Fax
(833) 944-0207
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 45978 TN
Pulmonary Disease Physician 207RP1001X MD45978 TN Primary

Addresses

Primary practice location

135 W 3Rd St
Cookeville, TN 38501-2478

Mailing address

135 W 3Rd St
Cookeville, TN 38501-2478
Phone (931) 202-3694

Other practice location 1

145 W 4th St Ste 201
Cookeville, TN 38501
Phone (931) 783-2143

Other practice location 2

221 N Oak Ave
Cookeville, TN 38501-2437
Phone (931) 202-3697

Other identifiers 4

IdentifierTypeStateIssuer
1520062MedicaidTN
4267428OtherTNBCBS
7100187270MedicaidKY
Q059015MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL vijayreddy@hotmail.com Other
CONNECT URL athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20200804003624 TN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3375541980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
TN Lung and Sleep Center LLCGroup PAC ID 9234554486, 2 clinicians

Practice addresses (Care Compare)

135 W 3Rd St
Cookeville, TN 38501-2478
Phone (931) 202-3697

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as individual
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45978TNMDLicensed Practical Nurse
002163NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Lung and Sleep Center LLC Pulmonary Disease CurrentSince Jun 8, 2020 Accepting new patients
Reliable Healthcare, PLLC PastSince Jun 8, 2020 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

221 N Oak Ave
Cookeville, TN 38501
Phone (931) 525-6676

135 W 3rd St
Cookeville, TN 38501
Phone (931) 202-3697

1645 S Main St
Crossville, TN 38555
Phone (931) 484-2220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vijay.rupanagudi.1@21914.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1649290404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 3RD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012478",
            "telephone_number": "931-202-3694",
            "fax_number": "833-944-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 3RD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012478",
            "telephone_number": "931-202-3697",
            "fax_number": "833-944-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 W 4th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "38501",
            "country_code": "US",
            "telephone_number": "931-783-2143",
            "fax_number": "931-783-2152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012437",
            "country_code": "US",
            "telephone_number": "931-202-3697",
            "fax_number": "833-944-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPANAGUDI",
        "first_name": "VIJAY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "45978",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "MD45978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520062",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4267428",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100187270",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059015",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vijayreddy@hotmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 N Oak Ave",
            "city": "Cookeville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385012437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenahealth.com",
            "affiliation": "N",
            "address_1": "135 W 3rd St",
            "city": "Cookeville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385012478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.