Individual provider Active NPI

Sudhakar Garlapati, M.D.

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1770518664
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01035322 Issued in IN
Practice address
401 Wall St
Valparaiso, IN 46383-2521
Phone
(219) 462-2106
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01035322 IN Primary

Addresses

Primary practice location

401 Wall St
Valparaiso, IN 46383-2521

Mailing address

401 Wall St
Valparaiso, IN 46383-2521
Phone (219) 462-2106

Other identifiers 1

IdentifierTypeStateIssuer
100214640AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sudhakar.garlapati.1@2340.direct.athenahealth.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000148 IN Practitioner - Family Practice 8729080312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01035322INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Porter Physician Services LLC Family Medicine Past Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

2000 Roosevelt Rd
Ste B
Valparaiso, IN 46383
Phone (219) 263-7240

401 Wall St
Unit F
Valparaiso, IN 46383
Phone (219) 462-2106

Interoperability endpoints

  • Direct secure messaging: sudhakar.garlapati.1@2340.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1770518664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832521",
            "telephone_number": "219-462-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALL ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832521",
            "telephone_number": "219-462-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAPATI",
        "first_name": "SUDHAKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01035322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214640A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sudhakar.garlapati.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "401 Wall St",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463832521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.