NPIMap

Organization Active NPI

Digestive and Liver Disease Specialists a Medical Group Inc

  • Gastroenterology Physician
  • Anaheim, CA
National Provider Identifier
1760469209
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE AND LIVER DISEASE SPECIALISTS A MEDICAL GROUP INC
Practice address
1771 W Romneya Dr
Suite C
Anaheim, CA 92801
Phone
(714) 758-0403
Fax
(714) 917-0785
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Raja R Alapati
Title
Billing Clerk
Phone
(714) 758-0403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1771 W Romneya Dr
Suite C
Anaheim, CA 92801

Mailing address

1771 W Romneya Dr
Suite C
Anaheim, CA 92801
Phone (714) 758-0403

Other identifiers 1

IdentifierTypeStateIssuer
GR0055870MedicaidCA

Other names 1

  • Ravindra Alapati MD INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000891 CA Part B Supplier - Clinic/Group Practice 8729987144 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Baldwin Park, CA; Whittier, CA; Garden Grove, CA; Anaheim, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0936103Digestive and Liver Disease Specialists,1771 W Romneya Drive Suite C, Anaheim, CA 92801Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Digestive and Liver Disease Spec a Med G3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1760469209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 W ROMNEYA DR",
            "address_2": "SUITE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-758-0403",
            "fax_number": "714-917-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 W ROMNEYA DR",
            "address_2": "SUITE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-758-0403",
            "fax_number": "714-917-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE AND LIVER DISEASE SPECIALISTS A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "ALAPATI",
        "authorized_official_first_name": "RAJA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "714-758-0403"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravindra Alapati MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.