Individual provider Active NPI

Roop Kamal Kollipara, MD

  • Allergy & Immunology Physician
  • Youngstown, OH
National Provider Identifier
1972560118
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35041819 Issued in OH
Practice address
540 Parmalee Ave
#410
Youngstown, OH 44510-1605
Phone
(330) 707-4553
Fax
(330) 707-4560
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35041819 OH Primary

Addresses

Primary practice location

540 Parmalee Ave
#410
Youngstown, OH 44510-1605

Mailing address

540 Parmalee Ave Ste 410
Youngstown, OH 44510-1605
Phone (330) 707-4553

Other practice location 1

1280 Boardman Canfield Rd
Youngstown, OH 44512-4073
Phone (330) 629-2494

Other identifiers 1

IdentifierTypeStateIssuer
0492275MedicaidOH

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
35041819OHMDAllergy & Immunology Physician

Interoperability endpoints

  • Direct secure messaging: rkollipara34635@direct.bsmhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1972560118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE STE 410",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-707-4553",
            "fax_number": "330-707-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "#410",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-707-4553",
            "fax_number": "330-707-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445124073",
            "country_code": "US",
            "telephone_number": "330-629-2494",
            "fax_number": "330-707-4560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLIPARA",
        "first_name": "ROOP",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35041819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.