NPIMap

Individual provider Active NPI

Swarupa Rani Eskapalli, M.D

  • Nephrology Physician
  • Mishawaka, IN
National Provider Identifier
1811199227
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01069093A Issued in IN
Practice address
710 Park PL
Nephrology Physicians LLC
Mishawaka, IN 46545-3519
Phone
(574) 273-6767
NPI assigned
Jun 5, 2007
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X RT1926 NH
Internal Medicine Physician 207R00000X 125051346. IL
Nephrology Physician 207RN0300X 01069093A IN Primary

Addresses

Primary practice location

710 Park PL
Nephrology Physicians LLC
Mishawaka, IN 46545-3519

Mailing address

PO Box 5909
Portland, OR 97228-5909
Phone (574) 273-6767

Other identifiers 1

IdentifierTypeStateIssuer
201018410MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110603000558 IN Practitioner - NephrologyPractitioner - Internal Medicine 5294912028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Physicians, LLCGroup PAC ID 1850289273, 11 clinicians

Practice addresses (Care Compare)

2855 Miller Dr
Suite 209
Plymouth, IN 46563-8096
Phone (574) 970-0777

710 Park PL
Mishawaka, IN 46545-3519
Phone (574) 273-6767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125051346.ILMDInternal Medicine Physician
01069093AINMDNephrology Physician
RT1926NHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Physicians LLC CurrentSince Jul 1, 2011 Accepting new patients
Nephrology Physicians LLC Nephrology CurrentSince Jul 1, 2011 Accepting new patients
FMS Nephrology Partners North Central Indiana Dialysis Centers, LLC PastSince Jul 25, 2019 Accepting new patients

Locations

710 Park Pl
Mishawaka, IN 46545
Phone (574) 273-6767

710 Park Pl
Ste 200
Mishawaka, IN 46545

2855 Miller Dr
Ste 209
Plymouth, IN 46563
Phone (574) 936-2754

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: seskapalli17493@direct.acumenmd.com

Organizations & group practices 3

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 11

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1811199227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5909",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285909",
            "telephone_number": "574-273-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PARK PL",
            "address_2": "NEPHROLOGY PHYSICIANS LLC",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453519",
            "telephone_number": "574-273-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKAPALLI",
        "first_name": "SWARUPA",
        "middle_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NH",
            "license": "RT1926",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125051346.",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01069093A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201018410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.