Active NPI
Simhachalam Gurugubelli, MD
- Student in an Organized Health Care Education/Training Program
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- TL.0011109
- Practice address
- 1635 Aurora CT
Aurora, CO 80045-2517 - Phone
- (720) 848-7700
- NPI assigned
- Jul 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL.0011109 | CO | Primary |
Addresses
Primary practice location
1635 Aurora CT
Aurora, CO 80045-2517
Mailing address
1775 Aurora CT
Aurora, CO 80045-2506
Phone (303) 724-8695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301116161 | MI | MD | Internal Medicine Physician |
| 29092 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Internal Medicine | Current | Accepting new patients |
| Parkview Health System, Inc. | Internal Medicine | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
300 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 255-6868
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
Interoperability endpoints
- sgurugubelli@direct.mhg.com
- sgurugubelli654092@direct.parkviewexchange.com
Organizations & group practices 6
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.
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
Internal Medicine
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
dba Memorial Surgery Center Cedar Lake
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1740617232
-
dba Memorial Emergency Physicians
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
dba Parkview Physicians Group
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1952411233
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1891281820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 AURORA CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800452506",
"telephone_number": "303-724-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 AURORA CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800452517",
"telephone_number": "720-848-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURUGUBELLI",
"first_name": "SIMHACHALAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-02",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL.0011109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.