Santoshi Lattupally

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

84705 Issued in SC

Practice address

103 Stuard St
Gaffney, SC 29341-1263

Phone

(864) 514-1080

Fax

(864) 514-1090

NPI assigned

Jul 7, 2017

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cherokee Medical Center

  dba CMC-Immediate Care Center-Gaffney

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1285275305
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Family Medicine - Boiling Springs

  • Family Medicine Physician
  • Boiling Springs, SC
  • NPI 1235170077
  Medicare reassignment NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Emergency Medicine

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1699729939
  Medicare reassignment NPD
• Cherokee Medical Center

  dba CMC-Center for Family Medicine-Grassy Pond

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1093356115
  NPD
• Cherokee Medical Center

  dba CMC-Center for Pediatrics

  • Rural Health Clinic/Center
  • Gaffney, SC
  • NPI 1265073381

  Pediatrics

  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas-Pediatrics- Boiling Springs

  • Pediatrics Physician
  • Inman, SC
  • NPI 1265901359
  NPD
• Spartanburg Medical Center

  dba Virtual Care

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1689173460
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas Pain Management Wood Street

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD
• Spartanburg Medical Center

  dba Medical Group of the Carolinas - Piedmont Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1376580852
  NPD (past)

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1700308178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 STUARD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411263",
            "telephone_number": "864-514-1080",
            "fax_number": "864-514-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTUPALLY",
        "first_name": "SANTOSHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "84705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCI785J577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCI7855019",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCI7856084",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847052",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slattupally214805@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "slattupally214805@direct-srhs.et0939.epichosted.com",
            "address_1": "103 Stuard St",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293411263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rufus Michael Kite, RPH
• Howard W Klickman, M.D.
• Phyllis Knighten, LPN
• Laboratory Corporation of America Holdings
• Makayla Landrum, MS,LAT,ATC,CISSN
• Ashley Lee
• Steven John Lewis, MD
• Life Provisions, LLC
• Lifeguard Ambulance Service LLC
• Limestone College (Limestone College Sports Medicine)

• Pediatrics Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.

Verify at the official NPI Registry.