Gopal R Korupolu, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME0070951 Issued in FL

Practice address

12204 Cortez Blvd
Brooksville, FL 34613-2630

Phone

(352) 799-3449

Fax

(352) 799-3214

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkorupolu296118@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Ridge Manor Family Clinic Inc

  • General Practice Physician
  • Brooksville, FL
  • NPI 1730577115
  Medicare reassignment NPD Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Hernando Family Practice Center Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Spring Hill, FL
  • NPI 1336154053
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• Pinnacle Home Care of Spring Hill, LLC.

  • Home Health Agency
  • Spring Hill, FL
  • NPI 1467488999
  Care Compare affiliation
• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1861437428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15781",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346040124",
            "telephone_number": "352-799-3449",
            "fax_number": "352-799-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132630",
            "telephone_number": "352-799-3449",
            "fax_number": "352-799-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORUPOLU",
        "first_name": "GOPAL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME0070951",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0070951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007336200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay B Klein, O.D. PA
• Carl Martin Knisley-Desmond, HOME HEALTH NURSE
• Laura Lynn Koach, NP
• Sailesh Konda, M.D.
• Ayse Gul Korkmaz, MD
• Ciana Alliyah Martins Kraft, MA
• Mark A T Kranc, M.D.
• Amy Kraus
• Teddi Kriegsman, RMHCI
• Krishna M Ganti MD PA

• General Practice Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.

Verify at the official NPI Registry.