Individual provider Active NPI

Satyanarayana Sai Nelanuthala

  • Surgery Physician
  • Noblesville, IN
National Provider Identifier
1972246106
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
747395 Issued in TX
Practice address
21220 Cunion CT
Noblesville, IN 46062-7445
Phone
(304) 203-3412
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 747395 TX Primary

Addresses

Primary practice location

21220 Cunion CT
Noblesville, IN 46062-7445

Mailing address

21220 Cunion CT
Noblesville, IN 46062-7445
Phone (304) 203-3412

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
747395TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1972246106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21220 CUNION CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627445",
            "telephone_number": "304-203-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21220 CUNION CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627445",
            "telephone_number": "304-203-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELANUTHALA",
        "first_name": "SATYANARAYANA",
        "middle_name": "SAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "747395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.