DR MARUPURU A PROFESSIONAL CORPORATION
NPI 1174090021
Family Medicine in Palm Springs, CA
About Dr Marupuru A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR MARUPURU A PROFESSIONAL CORPORATION (NPI 1174090021) is a healthcare organization registered as a family medicine in Palm Springs, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Soujanya Marupuru, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Marupuru A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Marupuru A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2161737
Dr Marupuru A Professional Corporation · Palm Springs, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dr Marupuru A Professional Corporation's NPI number?
The NPI number for Dr Marupuru A Professional Corporation is 1174090021. It was assigned to this organization in the NPPES registry on October 30, 2018.
Where is Dr Marupuru A Professional Corporation located?
Dr Marupuru A Professional Corporation is located at 490 S Farrell Dr Ste C106, Palm Springs, CA 92262. The listed phone number is (760) 416-6773.
What is Dr Marupuru A Professional Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dr Marupuru A Professional Corporation enrolled in Medicare?
Yes. Dr Marupuru A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Marupuru A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr Marupuru A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dr Marupuru A Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2161737) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dr Marupuru A Professional Corporation was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr Marupuru A Professional Corporation · NPI 1174090021
Family Medicine organization in Palm Springs, California. Organization record, active in the CMS NPPES registry since October 30, 2018.
## Identity
- **NPI:** 1174090021 (Entity type: Organization)
- **Enumerated:** October 30, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Soujanya Marupuru, PRESIDENT
## Practice location
- **Address:** 490 S FARRELL DR STE C106, Palm Springs, CA 92262-7962
- **Phone:** (760) 416-6773
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174090021) · Data from the CMS NPPES public registry.