Active NPI
Surya-Rao Pakalapati, MD
- Internal Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1699707752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301062471
- Practice address
- 1288 Morro St
Suite 200
San Luis Obispo, CA 93401-6301 - Phone
- (805) 543-1233
- Fax
- (805) 547-1179
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301062471 | MI | Primary |
Addresses
Primary practice location
1288 Morro St
Suite 200
San Luis Obispo, CA 93401-6301
Mailing address
1288 Morro St
Suite 200
San Luis Obispo, CA 93401-6301
Phone (805) 543-1233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062471 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699707752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 MORRO ST",
"address_2": "SUITE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016301",
"telephone_number": "805-543-1233",
"fax_number": "805-547-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 MORRO ST",
"address_2": "SUITE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016301",
"telephone_number": "805-543-1233",
"fax_number": "805-547-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKALAPATI",
"first_name": "SURYA-RAO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301062471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.