Organization Active NPI

Gi Physicians Inc

  • Gastroenterology Physician
  • Lima, OH
National Provider Identifier
1851358196
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI PHYSICIANS INC
Practice address
512 N Cable Rd
Lima, OH 45805-2133
Phone
(419) 228-2600
Fax
(419) 228-1100
NPI assigned
Apr 28, 2006
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Ven Kottapalli, MD, CNSPNPI 1144288408
Title
President
Phone
(419) 228-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

512 N Cable Rd
Lima, OH 45805-2133

Mailing address

512 N Cable Rd
Lima, OH 45805-2133
Phone (419) 228-2600

Other identifiers 2

IdentifierTypeStateIssuer
2488204MedicaidOH
7998365OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000545 OH Part B Supplier - Clinic/Group Practice 9234038845 Receives reassigned benefits from 5 practitioners
Practice locations: Lima, OH; Wapakoneta, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1007754Gi Physicians Inc512 N Cable Road, Lima, OH 45805Certificate of waiverDec 29, 2026
36D2341290Gi Physicians, Inc Lab512 N Cable Road, Suite 100a, Lima, OH 45805RegistrationMar 30, 2028

National Provider Directory

National Provider Directory

Locations

1005 Bellefontaine Ave
Ste 150
Lima, OH 45804
Phone (419) 228-1000

730 W Market St
Fl 6
Lima, OH 45801

1251 Lincoln Hwy
Ste 2
Wapakoneta, OH 45895
Phone (419) 228-1000

1251 Lincoln Hwy
Ste 4
Wapakoneta, OH 45895
Phone (419) 738-7030

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1851358196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KOTTAPALLI",
        "authorized_official_first_name": "VEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-228-2600",
        "authorized_official_credential": "MD, CNSP"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488204",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7998365",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.