Individual provider Active NPI

Sripathy Umapathi, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1669958195
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6490 Issued in MN
Practice address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone
(651) 602-7500
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6490 MN Primary

Addresses

Primary practice location

153 Cesar Chavez St
Saint Paul, MN 55107-2226

Mailing address

3413 E 40TH St
Minneapolis, MN 55406-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181010000050 MN Practitioner - Chiropractic 0244582849 Reassigns benefits to 1 organization
I20260506002984 ME Practitioner - Chiropractic 0244582849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Side Community Health Services, Inc. 51 clinicians

Practice addresses (Care Compare)

895 7TH St E
Saint Paul, MN 55106-3871
Phone (651) 602-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6490MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc CurrentSince Sep 1, 2018 Accepting new patients
West Side Community Health Services, Inc. CurrentSince Sep 1, 2018 Accepting new patients
West Side Community Health Services, Inc. Current Accepting new patients

Locations

380 E Lafayette Frontage Rd
Ste 200
Saint Paul, MN 55107
Phone (651) 602-7552

895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Interoperability endpoints

  • Direct secure messaging: sumapathi733223@direct.ochin.org

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1669958195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 E 40TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CESAR CHAVEZ ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072226",
            "telephone_number": "651-602-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAPATHI",
        "first_name": "SRIPATHY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.