Individual provider Active NPI

Chakravarthi Pureti

  • Internal Medicine Physician
  • Sioux City, IA
National Provider Identifier
1780809004
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38229 Issued in IA
Practice address
2720 Stone Park Blvd
Suite # 623
Sioux City, IA 51104-3734
Phone
(402) 881-9115
NPI assigned
Apr 13, 2007
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38229 IA Primary

Addresses

Primary practice location

2720 Stone Park Blvd
Suite # 623
Sioux City, IA 51104-3734

Mailing address

2720 Stone Park Blvd Ste 335
Sioux City, IA 51104-3734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MD, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090804000150 IA Practitioner - Internal Medicine 3375696628 Reassigns benefits to 1 organization
I20220916000131 MD Practitioner - HospitalistPractitioner - Internal Medicine 3375696628 Reassigns benefits to 1 organization
I20251212000094 TX Practitioner - Emergency Medicine 3375696628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siouxland Hospitalists PLLCGroup PAC ID 8123343803, 14 clinicians

Practice addresses (Care Compare)

2720 Stone Park Blvd
Suite 335
Sioux City, IA 51104-3734
Phone (712) 220-6634

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38229IAMDInternal Medicine Physician
25300NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 1, 2025 Accepting new patients
St Agnes Healthcare Inc CurrentSince Apr 10, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 1, 2025 Accepting new patients
Siouxland Hospitalists PLLC Internal Medicine CurrentSince Dec 24, 2014 Accepting new patients
Trinity Medical Center Internal Medicine Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

2720 Stone Park Blvd
Fl 3
Sioux City, IA 51104

2720 Stone Park Blvd
Ste 335
Sioux City, IA 51104
Phone (712) 220-6634

2720 Stone Park Blvd
Ste 623
Sioux City, IA 51104
Phone (712) 234-8540

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

Interoperability endpoints

  • Direct secure messaging: cpureti128364@direct.unitypoint.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1780809004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD STE 335",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "address_2": "SUITE # 623",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "402-881-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURETI",
        "first_name": "CHAKRAVARTHI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "38229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.