Active NPI
Abhilash Vemulapalli, DDS
- Dentist
- Evansville, IN
National Provider Identifier
1770005688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12012773A
- Practice address
- 804 S Green River Rd Ste a
Evansville, IN 47715-4106 - Phone
- (888) 988-4066
- Fax
- (847) 496-4850
- NPI assigned
- Jul 12, 2017
- Last updated
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12012773A | IN | Primary |
Addresses
Primary practice location
804 S Green River Rd Ste a
Evansville, IN 47715-4106
Mailing address
2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166
Phone (888) 988-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170728001376 | IN | Order and Referring Only - Dentist | 0244500932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avasa Group LLC | Dentist | Current | Accepting new patients |
| Familia Dental Evansville LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1770005688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 E ALGONQUIN RD STE 610",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734166",
"telephone_number": "888-988-4066",
"fax_number": "847-496-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 S GREEN RIVER RD STE A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154106",
"telephone_number": "888-988-4066",
"fax_number": "847-496-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMULAPALLI",
"first_name": "ABHILASH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012773A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Christopher Andy Vaught, NCC, LPCC, LMHC
- Lauren Flittner Veazey, MD
- Kiran Vedantam, MD
- Teresa Veech, FNP
- Jennifer Lee Veeck, MSN, RN, AMB-BC
- Tricia Renee Venditti, OT
- Suneetha Venkatapuram, MD
- Christine M Verbeck, O. D.
- Daren W. Vertein, FNP
- Viaquest Home Health of Indiana, LLC (CareOne Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.