Geronami Paul Kattupalli, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD440359 Issued in PA

Practice address

341 Science Park Rd Ste 202
State College, PA 16803-2287

Phone

(814) 424-2095

Fax

(814) 424-2202

NPI assigned

Jun 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: geronami.kattupalli.1@7202.direct.athenahealth.com

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.

• Advanced Urgent Care PC

  • Urgent Care Clinic/Center
  • State College, PA
  • NPI 1609187905

  Family Medicine

  NPD (past)
• Centre Urgentcare PC

  • Urgent Care Clinic/Center
  • Tyrone, PA
  • NPI 1568956464
  NPD (past)
• Express Medical Supply LLC

  • Oxygen Equipment & Supplies (DME)
  • State College, PA
  • NPI 1417233545
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1992901433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BARRENS CT STE 100",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707043",
            "telephone_number": "814-777-1071",
            "fax_number": "814-424-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 SCIENCE PARK RD STE 202",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032287",
            "telephone_number": "814-424-2095",
            "fax_number": "814-424-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTUPALLI",
        "first_name": "GERONAMI",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT189831",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi H Kao, MD
• Nathan Karmelita, PT, DPT
• Anastasia Karpenko, LMT
• Michael Kasomenakis
• Katherine McNitt Nutrition, LLC
• Kristie L. Kaufman, M.D.
• David Scott Kautz, PHARMD
• Zachary Kavo, MS, LAT, ATC, CES
• John Michael Kay, DO
• Stephen V Kazmer

• Family Medicine Physician in State College, PA
• Providers in State College, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.