Individual provider Active NPI

Sahitya Mallipeddi, MD

  • Rheumatology Physician
  • Plainfield, IN
National Provider Identifier
1962667535
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01079074A Issued in IN
Practice address
1100 Southfield Dr Ste 1330
Plainfield, IN 46168
Phone
(317) 837-5510
Fax
(317) 837-5520
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 268918 NY
Rheumatology Physician 207RR0500X 01079074A IN Primary

Addresses

Primary practice location

1100 Southfield Dr Ste 1330
Plainfield, IN 46168

Mailing address

1100 Southfield Dr Ste 1330
Plainfield, IN 46168-4499
Phone (317) 837-5510

Other practice location 1

Montefiore Medical Center
111 East 210th Street
Bronx, NY 10467
Phone (718) 920-5057

Other practice location 2

3000 S State Road 135 Ste 310
Greenwood, IN 46143-5527
Phone (317) 497-2400

Other practice location 3

3000 S State Road 135 Ste 310
Greenwood, IN 46143-5527
Phone (317) 497-2400

Other identifiers 1

IdentifierTypeStateIssuer
300006327MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smallipeddi298846@direct-PRD.stelizabeth.com

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

LicenseStateTypeSpecialty
268918NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1962667535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1330",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684499",
            "telephone_number": "317-837-5510",
            "fax_number": "317-837-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1330",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "46168",
            "telephone_number": "317-837-5510",
            "fax_number": "317-837-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Montefiore Medical Center",
            "address_2": "111 East 210th Street",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10467",
            "country_code": "US",
            "telephone_number": "718-920-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135 Ste 310",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461435527",
            "country_code": "US",
            "telephone_number": "317-497-2400",
            "fax_number": "317-497-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135 Ste 310",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461435527",
            "country_code": "US",
            "telephone_number": "317-497-2400",
            "fax_number": "317-497-2515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLIPEDDI",
        "first_name": "SAHITYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "268918",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01079074A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300006327",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smallipeddi298846@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1100 Southfield Dr Ste 1330",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.