Active NPI
Chakravarthi Pureti
- Internal Medicine Physician
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38229
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38229 | IA | MD | Internal Medicine Physician |
| 25300 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| St Agnes Healthcare Inc | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Siouxland Hospitalists PLLC | Internal Medicine | Current | 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
- 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.
-
dba Prime Physicians
- Internal Medicine Physician
- Sioux City, IA
- NPI 1831598614
-
dba Rosebud Indian Health Service Hospital
- General Acute Care Hospital
- Rosebud, SD
- NPI 1194757369
TX
-
dba Integrated Specialists Group
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
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
- Progressive Mental Health Solutions LLC
- Rachel Propst, PHARMD
- Linda Maria Pry X
- Sandeep Pulimi, MD
- Pulmonary Associates, a Professional Corporation
- Askar A Qalbani, MD
- Qualicenters Sioux City, LLC (Siouxland Dialysis)
- Qualicenters Sioux City, LLC (FMC Dialysis Services Midwest Dialysis)
- Andrea Queen, RN
- James Thomas Quesenberry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.