Active NPI
Sunil Vallurupalli, M.D.,
- Pulmonary Disease Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 71295
- Practice address
- 1505 Northside Blvd
3000
Cumming, GA 30041-7623 - Phone
- (770) 886-0036
- NPI assigned
- Jun 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 38017 | SC | |
| Pulmonary Disease Physician | 207RP1001X | 71295 | GA | Primary |
Addresses
Primary practice location
1505 Northside Blvd
3000
Cumming, GA 30041-7623
Mailing address
1505 Northside Blvd
3000
Cumming, GA 30041-7623
Phone (770) 886-0036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003146142A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sunil.vallurupalli@northsidehospital.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140423001242 | GA | Practitioner - Internal Medicine | 2365675568 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside Primary Care Professional Services,LLC
Practice addresses (Care Compare)
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200
1400 Northside Forsyth Dr
Suite 310
Cumming, GA 30041-6017
Phone (770) 886-3842
3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210
3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
Hospital & facility affiliations
- Northside Hospital Forsyth
- Northside Hospital
- Northside Hospital Cherokee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71295 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients |
Locations
3400 Old Milton Pkwy
Ste 425
Alpharetta, GA 30005
Phone (770) 343-8760
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
1505 Northside Blvd
Ste 3400
Cumming, GA 30041
Phone (770) 442-3117
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
1505 Northside Blvd
Ste 3500
Cumming, GA 30041
Phone (770) 292-3120
1505 Northside Blvd
Ste 3000
Cumming, GA 30041
Phone (770) 886-0036
1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
4375 Johns Creek Pkwy
Ste 320
Suwanee, GA 30024
Phone (770) 623-1331
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
3350 Paddocks Pkwy
#3350A
Suwanee, GA 30024
Phone (678) 474-9633
Interoperability endpoints
- sunilvallurupalli@gpcc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
GA
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
Hospital & facility affiliations 3
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": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1811159239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD",
"address_2": "3000",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417623",
"telephone_number": "770-886-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NORTHSIDE BLVD",
"address_2": "3000",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417623",
"telephone_number": "770-886-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLURUPALLI",
"first_name": "SUNIL",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "38017",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "71295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003146142A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sunil.vallurupalli@northsidehospital.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "1505 Northside Blvd",
"address_2": "3000",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300417623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.