Purushothama Varma Dasaraju, M.D.,

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

04-25189 Issued in KS

Practice address

2200 SW Gage Blvd
Topeka, KS 66622-0001

Phone

(785) 350-3111

Fax

(785) 350-4429

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1669408324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD COLMERY O'NEIL VA MEDICAL CTR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666225642",
            "telephone_number": "785-228-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220001",
            "telephone_number": "785-350-3111",
            "fax_number": "785-350-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASARAJU",
        "first_name": "PURUSHOTHAMA",
        "middle_name": "VARMA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-25189",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M1617",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "04-25189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenen Edward Dapkiewicz, APRN, FNP-C
• Titus E. Darabant, M.D.
• Richard Thomas Darnall, DDS
• Stephanie Marie Darnell, RN
• Yvonne E. Darr, NP
• Balaji S Datti, M.D.
• Raymond Dattilo, M.D.
• Sheri R Daudet, LSCSW
• Ted W Daughety, M.D.
• Jason T. Davee, PA-C

• Infectious Disease Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Infectious Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.