Active NPI
Rohini Kalluri, DO
- Family Medicine Physician
- Eau Claire, WI
National Provider Identifier
1669211371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 101014
- Practice address
- 1400 Belllinger Street
Eau Claire, WI 54703-5222 - Phone
- (715) 838-5222
- NPI assigned
- May 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101014 | WI | Primary |
Addresses
Primary practice location
1400 Belllinger Street
Eau Claire, WI 54703-5222
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkalluri2031474@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240704000088 | WI | Order and Referring Only - Family Practice | 8628512340 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101014 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1669211371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BELLLINGER STREET",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035222",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [
{
"address_1": "1221 Whipple St",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547035270",
"country_code": "US",
"telephone_number": "715-838-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALLURI",
"first_name": "ROHINI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-06-28",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "101014",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkalluri2031474@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1400 Belllinger Street",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547035222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.