Joseph Augustine Valloppillil, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E5972 Issued in TX

Practice address

1407 Ave H
Bay City, TX 77414

Phone

(979) 245-7317

Fax

(979) 245-7319

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1801991500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 AVE H",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "77414",
            "telephone_number": "979-245-7317",
            "fax_number": "979-245-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 AVE H",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "77414",
            "telephone_number": "979-245-7317",
            "fax_number": "979-245-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLOPPILLIL",
        "first_name": "JOSEPH",
        "middle_name": "AUGUSTINE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E5972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "614360",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2227229",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "848195",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080815601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8704643",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinyere Ugwuzor, MD
• Ultimet Health Services, Incorporated
• Jack Travis Ursery, MS, ATC, LAT
• Valloppillil M.D.
• Ammini Joseph Valloppillil, MD
• Joe Louis Vasquez Jr., A-GNP-C
• Vinitha Vellanki, MD
• Katherine Anne Vern, APRN, FNP-C
• Callan Volkmer, MD
• Randy Volkmer II, MD

• Internal Medicine Physician in Bay City, TX
• Providers in Bay City, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.