Active NPI
Vijay A Rupanagudi, MD
- Pulmonary Disease Physician
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD45978
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520062 | Medicaid | TN | |
| 4267428 | Other | TN | BCBS |
| 7100187270 | Medicaid | KY | |
| Q059015 | Medicaid | TN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
135 W 3Rd St
Cookeville, TN 38501-2478
Phone (931) 202-3697
Hospital & facility affiliations
- Cookeville Regional Medical Center
- Cumberland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.21 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45978 | TN | MD | Licensed Practical Nurse |
| 002163 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TN Lung and Sleep Center LLC | Pulmonary Disease | Current | Accepting new patients |
| Reliable Healthcare, PLLC | Past | 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
- https://api.platform.athenahealth.com/8546/brand/1/csg/1/fhir/r4
- 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.
-
- Pulmonary Disease Physician
- Cookeville, TN
- NPI 1265057855
-
- Primary Care Clinic/Center
- Cookeville, TN
- NPI 1497170146
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.