Individual provider Active NPI

Lakshmi C. Tegulapalle, D.O.

  • Diagnostic Radiology Physician
  • Pasadena, CA
National Provider Identifier
1659355824
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A10297 Issued in CA
Practice address
100 W California Blvd
Radiology Dept.
Pasadena, CA 91105-3010
Phone
(626) 397-5139
Fax
(626) 447-1058
NPI assigned
Dec 1, 2005
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A10297 CA Primary

Addresses

Primary practice location

100 W California Blvd
Radiology Dept.
Pasadena, CA 91105-3010

Mailing address

223 N 1St Ave
Suite 201
Arcadia, CA 91006-7027
Phone (626) 698-7246

Other identifiers 1

IdentifierTypeStateIssuer
20A102970OtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080404000457 CA Practitioner - Diagnostic Radiology 1850310343 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
Bedford Breast Center IncGroup PAC ID 5395160295, 5 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone (877) 406-2916

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (877) 406-2916

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (877) 406-2916

250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

436 N Bedford Dr
Suite 105
Beverly Hills, CA 90210-4323
Phone (310) 278-8590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10297CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology Current Accepting new patients
The Huntington Medical Foundation Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jun 26, 2023 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Mar 3, 2008 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Mar 3, 2008 Accepting new patients
Bedford Breast Center, Inc CurrentSince May 22, 2023 Accepting new patients
City of Hope Medical Foundation CurrentSince Sep 7, 2011 Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients

Locations

223 N 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 821-1411

436 N Bedford Dr
Ste 105
Beverly Hills, CA 90210
Phone (310) 278-8590

9900 Talbert Ave
Ste 102
Fountain Valley, CA 92708
Phone (714) 378-7000

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

625 S Fair Oaks Ave
Ste 140
Pasadena, CA 91105
Phone (626) 698-7240

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

65 N Madison Ave
Lowr
Pasadena, CA 91101
Phone (626) 793-8189

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: lakshmi.tegulapalle.p1@direct.arroyovista.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1659355824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067027",
            "telephone_number": "626-698-7246",
            "fax_number": "626-447-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "address_2": "RADIOLOGY DEPT.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-5139",
            "fax_number": "626-447-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGULAPALLE",
        "first_name": "LAKSHMI",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A10297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "20A102970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.