NPIMap

Organization Active NPI

L Chirumamilla, MD, PC

  • Internal Medicine Physician
  • New Albany, IN
National Provider Identifier
1831626688
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01046148A Issued in IN
Legal business name
L CHIRUMAMILLA, MD, PC
Practice address
3058 Wolf Lake Blvd
New Albany, IN 47150-9584
Phone
(812) 987-2294
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Randi L Lilly
Title
Credentialing Specialist
Phone
(812) 989-5495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01046148A IN Primary

Addresses

Primary practice location

3058 Wolf Lake Blvd
New Albany, IN 47150-9584

Mailing address

PO Box 511
Sellersburg, IN 47172-0511
Phone (812) 987-2294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1831626688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471720511",
            "telephone_number": "812-987-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 WOLF LAKE BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509584",
            "telephone_number": "812-987-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L CHIRUMAMILLA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "812-989-5495"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.