GANAPATHI GOTTUMUKKALA
NPI 1962457614
Family Medicine in Tinley Park, IL

NPI Status: Active since May 23, 2006

Contact Information

6701 159TH ST
SUITE B
TINLEY PARK, IL
ZIP 60477
Phone: (708) 614-0893
Fax: (708) 342-1481

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  • Organization
  • Family Medicine

About GANAPATHI GOTTUMUKKALA

This page provides the complete NPI Profile along with additional information for Ganapathi Gottumukkala, a primary care provider established in Tinley Park, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1962457614 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 036-074987 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ganapathi Gottumukkala M.d. (Sole Proprietor)

NPI
1962457614
Provider Name
GANAPATHI GOTTUMUKKALA
Entity Type
Organization
Location Address
6701 159TH ST SUITE B TINLEY PARK, IL 60477
Location Phone
(708) 614-0893
Location Fax
(708) 342-1481
Mailing Address
PO BOX 849 MATTESON, IL 60443
Mailing Phone
(708) 747-5850
Mailing Fax
(708) 342-1481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
11-25-2009
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A primary care provider (PCP) like Ganapathi Gottumukkala sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
036-074987
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GANAPATHI GOTTUMUKKALA M.D.

Authorized Official Title
SOLE PROPRIETOR
Authorized Official Phone
(708) 614-0893

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01625532OTHER (01)ILBCBSIL GROUP #
570900MEDICARE PIN (08)IL 
080052428MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962457614, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 5 + 1 + 4 + 6 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962457614.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
6701 159TH ST, INGALLS SAME DAY SURGERY
TINLEY PARK, IL 60477
Anesthesiology
6701 159TH ST, INGALLS SAME DAY SURGERY
TINLEY PARK, IL 60477
Ophthalmology
6701 159TH ST, SUITE C
TINLEY PARK, IL 60477
Ophthalmology
6701 159TH ST, SUITE C
TINLEY PARK, IL 60477
Internal Medicine (Hematology & Oncology)
6701 159TH ST, SUITE 1
TINLEY PARK, IL 60477
Emergency Medicine
6701 159TH ST
TINLEY PARK, IL 60477
Emergency Medicine
6701 159TH ST
TINLEY PARK, IL 60477
Specialist
6701 159TH ST, SUITE 2
TINLEY PARK, IL 60477
Emergency Medicine
6701 159TH ST
TINLEY PARK, IL 60477
Pharmacy (Community/Retail Pharmacy)
6701 159TH ST
TINLEY PARK, IL 60477
Physical Therapist
6701 159TH ST
TINLEY PARK, IL 60477
Non-Pharmacy Dispensing Site
6701 159TH ST, SUITE 1
TINLEY PARK, IL 60477
Pharmacist
6701 159TH ST
TINLEY PARK, IL 60477
Pharmacy (Community/Retail Pharmacy)
6701 159TH ST
TINLEY PARK, IL 60477
Psychiatry & Neurology (Psychiatry)
6701 159TH ST, SUITE 2
TINLEY PARK, IL 60477
Psychiatry & Neurology (Psychiatry)
6701 159TH ST, SUITE 2
TINLEY PARK, IL 60477
Nurse Practitioner (Family)
6701 159TH ST
TINLEY PARK, IL 60477
Urology
6701 159TH ST
TINLEY PARK, IL 60477
Nurse Practitioner (Psychiatric/Mental Health)
6701 159TH ST
TINLEY PARK, IL 60477
Surgery
6701 159TH ST, LOWER LEVEL
TINLEY PARK, IL 60477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962457614, enumerated as an "organization" on May 23, 2006.

The provider is located at 6701 159TH ST SUITE B TINLEY PARK, IL 60477 and the phone number is (708) 614-0893.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.