Active NPI
Sree K.P. Mulpuru, M.D.
- Pediatrics Physician
- Fairmont, WV
National Provider Identifier
1700955804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11598
- Practice address
- 312 10TH St
Fairmont, WV 26554-3611 - Phone
- (304) 366-2818
- Fax
- (304) 366-7614
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11598 | WV | Primary |
Addresses
Primary practice location
312 10TH St
Fairmont, WV 26554-3611
Mailing address
312 10TH St
Fairmont, WV 26554-3611
Phone (304) 366-2818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112060000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11598 | WV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700955804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 10TH ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265543611",
"telephone_number": "304-366-2818",
"fax_number": "304-366-7614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 10TH ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265543611",
"telephone_number": "304-366-2818",
"fax_number": "304-366-7614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULPURU",
"first_name": "SREE",
"middle_name": "K.P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "11598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112060000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.