Individual provider Active NPI

Sai Prasad Gadapa, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1801296397
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036141498 Issued in IL
Practice address
1501 S California Ave
Chicago, IL 60608
Phone
(773) 542-2000
Fax
(773) 257-6050
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125065021 IL
Internal Medicine Physician 207R00000X 036141498 IL Primary

Addresses

Primary practice location

1501 S California Ave
Chicago, IL 60608

Mailing address

1501 S California Ave
Chicago, IL 60608-1732
Phone (773) 257-2500

Other practice location 1

911 Elmwood Ave Apt L3
Evanston, IL 60202-1757
Phone (224) 999-2668

Other practice location 2

911 Elmwood Ave Apt L3
Evanston, IL 60202-1757
Phone (224) 999-2668

Other practice location 3

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgadapa49526@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190624002504 IL Practitioner - Internal Medicine 1658643408 Reassigns benefits to 1 organization
I20240116001901 CO Practitioner - Hospitalist 1658643408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141498ILMDInternal Medicine Physician
125065021ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince May 19, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Mount Sinai Community Foundation Internal Medicine CurrentSince May 19, 2019 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

Interoperability endpoints

  • Direct secure messaging: sgadapa49526@ce-direct.presencehealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1801296397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081732",
            "telephone_number": "773-257-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-542-2000",
            "fax_number": "773-257-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Elmwood Ave Apt L3",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602021757",
            "country_code": "US",
            "telephone_number": "224-999-2668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Elmwood Ave Apt L3",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602021757",
            "country_code": "US",
            "telephone_number": "224-999-2668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161209",
            "country_code": "US",
            "telephone_number": "847-297-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADAPA",
        "first_name": "SAI PRASAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125065021",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036141498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgadapa49526@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "100 N River Rd",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.