Pushpa Balgiri Giri, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

1405 S Prospect Ave
None
Champaign, IL 61820-6821

Phone

(217) 265-0703

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pushpa.giri.1@14258.direct.athenahealth.com

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.

• F.a. Wrestler M.D., LTD

  • Health Maintenance Organization
  • Champaign, IL
  • NPI 1740497833
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1912914243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S PROSPECT AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206821",
            "telephone_number": "217-265-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S PROSPECT AVE",
            "address_2": "NONE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206821",
            "telephone_number": "217-265-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRI",
        "first_name": "PUSHPA",
        "middle_name": "BALGIRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gilbert, M.A.R.
• Blake Evan Gilbo, M.S., LPC
• Tempestt Gill
• Joshua Brian Gille, DMD
• Naomi Gillett
• Laura Mary Girouard, M.S., CCC-SLP
• Jessica E Giroux, LPC
• Jessica Noelle Giuffrida, LPC
• Kevin Lee Glancy, O.D.
• Jennifer L Gleason, M.A.

• Internal Medicine Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.