Organization Active NPI

Internal Medicine Physicians, Inc

  • Internal Medicine Physician
  • Winona, MS
National Provider Identifier
1942300827
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE PHYSICIANS, INC
Practice address
515 Simpson Dr
Winona, MS 38967-3009
Phone
(662) 283-9993
Fax
(662) 283-4088
NPI assigned
Sep 22, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Gutti J Rao, MD
Title
Medical Director
Phone
(662) 283-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

515 Simpson Dr
Winona, MS 38967-3009

Mailing address

515 Simpson Dr
Winona, MS 38967-3009
Phone (662) 283-9993

Other identifiers 1

IdentifierTypeStateIssuer
01686771MedicaidMS

National Provider Directory

National Provider Directory

Locations

515 Simpson Dr
Winona, MS 38967
Phone (662) 283-9993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1942300827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SIMPSON DR",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389673009",
            "telephone_number": "662-283-9993",
            "fax_number": "662-283-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SIMPSON DR",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389673009",
            "telephone_number": "662-283-9993",
            "fax_number": "662-283-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "GUTTI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "662-283-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01686771",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.