Active NPI
Adiraju Palagiri, MD
- Urology Physician
- Marion, IL
National Provider Identifier
1912902198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Practice address
- 3331 W Deyoung St
Ste 105
Marion, IL 62959-5896 - Phone
- (618) 997-8181
- Fax
- (618) 997-8499
- NPI assigned
- Jun 15, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | IL | Primary |
Addresses
Primary practice location
3331 W Deyoung St
Ste 105
Marion, IL 62959-5896
Mailing address
3331 W Deyoung St
Ste 105
Marion, IL 62959-5896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036048404 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Management Inc | Past | Accepting new patients | |
| Memorial Management Inc | Urology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Marion, IL
- NPI 1518423904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1912902198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST",
"address_2": "STE 105",
"city": "MARION",
"state": "IL",
"postal_code": "629595896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST",
"address_2": "STE 105",
"city": "MARION",
"state": "IL",
"postal_code": "629595896",
"telephone_number": "618-997-8181",
"fax_number": "618-997-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAGIRI",
"first_name": "ADIRAJU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.