Anjanaya Prasad Rao Korlipara, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0054509 Issued in FL

Practice address

1331 N Lawnwood Cir
Fort Pierce, FL 34950-4825

Phone

(772) 489-5900

Fax

(772) 489-2086

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Phoenix Anesthesia PLLC

  • Anesthesiology Physician
  • Fort Pierce, FL
  • NPI 1891231718
  NPD (past) Authorized official
• Prasad Korlipara. M.D.

  • Gastroenterology Physician
  • Fort Pierce, FL
  • NPI 1386035301
  NPD (past) Authorized official
• St. Lucie Surgical Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Fort Pierce, FL
  • NPI 1790761393
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1982776142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504825",
            "telephone_number": "772-489-5900",
            "fax_number": "772-489-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504825",
            "telephone_number": "772-489-5900",
            "fax_number": "772-489-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORLIPARA",
        "first_name": "ANJANAYA PRASAD",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0054509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040773900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendell Koblegard, M.D.
• Monica Koger
• Sara Beth Kohler
• Halina Kolodziej
• Shari Elizabeth Kontrath, BOCPD, CPED
• Susan Diane Korman, ARNP
• Kathie Kowalczyk, M.D
• Takashi Koyama, DMD, PHD FACS
• Kelli Kraaz, ARNP- FNP
• Kelly Phipps Kramm

• Specialist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.