Individual provider Active NPI

Vamsi Krishna Gullapalli, MD, PHD

  • Ophthalmology Physician
  • Sartell, MN
National Provider Identifier
1649477787
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
58570 Issued in MN
Practice address
2330 Troop Dr
Suite 104
Sartell, MN 56377-4530
Phone
(320) 230-8555
Fax
(320) 230-8556
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N9216 TX
Ophthalmology Physician 207W00000X 25MA09407400 NJ
Ophthalmology Physician 207W00000X 254104 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 254104 NY
Ophthalmology Physician 207W00000X 58570 MN Primary

Addresses

Primary practice location

2330 Troop Dr
Suite 104
Sartell, MN 56377-4530

Mailing address

2330 Troop Dr
Suite 104
Sartell, MN 56377-4530
Phone (320) 230-8555

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vgullapalli4129@direct.urmc.rochester.edu Direct
Direct Messaging Address vgullapalli4129@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091013000569 NY Practitioner - Ophthalmology 4385780998 Reassigns benefits to 2 organizations
I20141218002174 MN Practitioner - Ophthalmology 4385780998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Minnesota Retina Consultants, PLLCGroup PAC ID 8426199878, 2 clinicians

Practice addresses (Care Compare)

2330 Troop Dr
Unit 104
Sartell, MN 56377-4531
Phone (320) 230-8555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
71.65
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
N9216TXMDOphthalmology Physician
254104NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steve B. Park, MD PC Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
Central Minnesota Retina Consultants, PLLC Ophthalmology CurrentSince Jan 5, 2015 Accepting new patients
Steve B. Park, MD PC CurrentSince Sep 1, 2020 Accepting new patients
Retina Services of the University of Rochester Ophthalmology CurrentSince May 1, 2020 Accepting new patients
Coastal Bend Retina, P.a. Ophthalmology PastSince Apr 1, 2004 Accepting new patients

Locations

2633 Jefferson St
Ste 802
Alexandria, MN 56308
Phone (320) 230-8555

2330 Troop Dr
Unit 104
Sartell, MN 56377
Phone (320) 230-8555

485 Titus Ave
Ste A
Rochester, NY 14617
Phone (585) 266-5636

601 Elmwood Ave
#659
Rochester, NY 14642
Phone (585) 275-0378

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624
Phone (585) 254-2260

Interoperability endpoints

  • Direct secure messaging: vgullapalli219349@direct.centracare.com
  • Direct secure messaging: vgullapalli@centralmnretina.intellechartdirect.net

Organizations & group practices 5

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 7

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1649477787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 TROOP DR",
            "address_2": "SUITE 104",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774530",
            "telephone_number": "320-230-8555",
            "fax_number": "320-230-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 TROOP DR",
            "address_2": "SUITE 104",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774530",
            "telephone_number": "320-230-8555",
            "fax_number": "320-230-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLAPALLI",
        "first_name": "VAMSI",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N9216",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09407400",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "254104",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "254104",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "58570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgullapalli4129@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgullapalli4129@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.