Ganapathi Gottumukkala
NPI 1962457614ActiveOrganization· Family Medicine· Tinley Park, IL
Family Medicine in Tinley Park, Illinois, registered in NPPES in May 2006. The authorized official on file is Ganapathi Gottumukkala, M.D., Sole Proprietor.
Overview
| NPI | 1962457614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Nov 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036-074987 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Tinley Park
- 1750562187
- 1538571443
- 1245836899
- 1669762639
- 1013926625
- 1265488712
- 1093028680
- 1215138219
- 1104610286
- 1881694222
- 1659074888
- 1053052993