Active NPI
Siva K Mulpuru, MD
- Clinical Cardiac Electrophysiology Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 55722
- Practice address
- 200 1St St SW
Rochester, MN 55905 - Phone
- (507) 284-2511
- NPI assigned
- May 20, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 51695 | AZ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 106164 | MN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A106317 | CA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD-42789 | IA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 63917 | WI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 55722 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 2
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smulpuru113075@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, AZ, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Lake CityMayo Clinic Health System-Southeast Minnesota Region
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261
114 Main St S
Mabel, MN 55954-9754
Phone (507) 493-5115
1216 2ND St SW
Rochester, MN 55902-1906
Phone (507) 255-5123
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
200 1St SWST
Rochester, MN 55905-0001
201 W Ctr St
Rochester, MN 55902-3003
Phone (507) 255-5123
2200 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-1120
2250 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-3850
300 State Ave
Faribault, MN 55021-6319
Phone (507) 333-3300
3041 Stonehedge Dr NE
Rochester, MN 55906-5426
Phone (507) 538-8500
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
411 W Main St
Kasson, MN 55944-1141
Phone (507) 634-7011
4544 Canal PL SE
Rochester, MN 55904-4010
Phone (507) 293-8500
500 W Grant St
Lake City, MN 55041-1143
Phone (651) 345-3321
800 Medical Ctr Dr
Fairmont, MN 56031-4575
Phone (507) 238-8555
800 W Ave S
La Crosse, WI 54601-8806
Phone (608) 785-0940
825 Mankato Ave
Winona, MN 55987-4866
Phone (507) 457-4149
Hospital & facility affiliations
- Mayo Clinic Hospital Rochester
- Mayo Clinic Health System - Albert Lea and Austin
- Mayo Clinic Health System - Mankato
- Mayo Clinic Health System in Red Wing
- Mayo Clinic Health System New Prague
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51695 | AZ | MD | Clinical Cardiac Electrophysiology Physician |
| A106317 | CA | MD | Clinical Cardiac Electrophysiology Physician |
| MD-42789 | IA | MD | Clinical Cardiac Electrophysiology Physician |
| 63917 | WI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
Locations
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
5777 E Mayo Blvd
Fl 4
Phoenix, AZ 85054
13400 E Shea Blvd
Scottsdale, AZ 85259
901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
114 Main St S
Mabel, MN 55954
Phone (507) 493-5115
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Interoperability endpoints
- smulpuru113075@ehrdirect.mayoclinicmsg.org
Organizations & group practices 23
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.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
dba WinnMed Mabel Clinic
- Primary Care Clinic/Center
- Mabel, MN
- NPI 1093857393
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
AZ, MN
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
dba Mayo Clinic Health System-Cannon Falls
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
dba Mayo Clinic Health System-Albert Lea and Austin
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
dba Mayo Clinic Scottsdale
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
dba Mayo Clinic Health System in Eau Claire
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
AZ, MN
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System-Red Wing
- General Acute Care Hospital
- Red Wing, MN
- NPI 1164400024
-
dba Mayo Clinic Health System-Albert Lea and Austin
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
-
dba Mayo Clinic Health System-New Prague
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1770740417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55905",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULPURU",
"first_name": "SIVA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "AZ",
"license": "51695",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MN",
"license": "106164",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A106317",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IA",
"license": "MD-42789",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "63917",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MN",
"license": "55722",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smulpuru113075@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "200 1st St SW",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "55905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.
- 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.