NPIMap

Organization Active NPI

Aruna Gullapalli MD Apmc

  • Specialist
  • Monroe, LA
National Provider Identifier
1881627552
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10988R Issued in LA
Legal business name
ARUNA GULLAPALLI MD APMC
Practice address
2404 Duval Dr
Monroe, LA 71201-2986
Phone
(318) 329-3933
Fax
(318) 322-1134
NPI assigned
Jul 8, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Aruna Gullapalli, MDNPI 1154303261
Title
Owner
Phone
(318) 329-3933

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20061205000197 LA Part B Supplier - Clinic/Group Practice 4981603784 Receives reassigned benefits from 6 practitioners
Practice locations: Monroe, LA; Ruston, LA

National Provider Directory

National Provider Directory

Locations

2404 Duval Dr
Monroe, LA 71201
Phone (318) 322-0640

3100 Kilpatrick Blvd
Ste 102
Monroe, LA 71201
Phone (318) 325-8048

823 W California Ave
Ruston, LA 71270
Phone (318) 224-3044

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10988R LA Primary

Addresses

NPPES NPI Registry

Primary practice location

2404 Duval Dr
Monroe, LA 71201-2986

Mailing address

2404 Duval Dr
Monroe, LA 71201-2986
Phone (318) 329-3933

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1653489MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2007.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1881627552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 DUVAL DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012986",
            "telephone_number": "318-329-3933",
            "fax_number": "318-322-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 DUVAL DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012986",
            "telephone_number": "318-329-3933",
            "fax_number": "318-322-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNA GULLAPALLI MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "GULLAPALLI",
        "authorized_official_first_name": "ARUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-329-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "10988R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653489",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.