DR. SHIVAPRASAD MARULENDRA M.D. NPI 1205810926

NPI Information

  • NPI: 1205810926
  • Provider Name: DR. SHIVAPRASAD MARULENDRA, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27 TARA WAY
    PENNINGTON, NJ
    ZIP 08534
  • Phone: (609) 477-3003

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NPI Details

DR. Shivaprasad Marulendra, M.D. is a gastroenterology internal medicine in Pennington, NJ with 38 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Shivaprasad Marulendra, M.D. NPI is 1205810926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

27 TARA WAY
PENNINGTON, NJ
ZIP 08534-100
Phone: (609) 477-3003

The NPI 1205810926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)
  • Review by radiologist of image from tube placement into bile duct using an endoscope (HCPCS:74328)
  • Insertion of stent into pancreatic or bile duct using a flexible endoscope (HCPCS:43274)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43255)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Imaging of digestive tract done from the inside of the digestive tract (HCPCS:91110)
  • Removal of stent from pancreatic or bile duct using a flexible endoscope (HCPCS:43275)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 12/6/2005 and was last updated on 8/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA06405900NEW JERSEYNo
2207RG0100XInternal MedicineGastroenterology25MA06405900NEW JERSEYNo
3207RG0100XInternal MedicineGastroenterology036141750ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010002878-00OTHERNEW JERSEYAMERICHOICE
24651687OTHERNEW JERSEYAETNAPPO
3869482OTHERNEW JERSEYAMERIHEALTH PPO
4222233588OTHERNEW HAMPSHIREMULTIPLAN
5214881OTHERILLINOISMEDICARE GROUP PTAN
63977218008OTHERNEW HAMPSHIRECIGNA
70000653760001OTHERNEW JERSEYONE HEALTH PLAN
81091534OTHERNEW JERSEYHORIZON NJ HEALTH
97050607MEDICAIDNEW JERSEY
10744595OTHERNEW HAMPSHIREFIRST HEALTH
110985179000OTHERNEW HAMPSHIREAMERIHEALTH HMO
12143398OTHERNEW JERSEYCHN
1316536OTHERNEW JERSEYAMERICAID
142172624OTHERNEW JERSEYAETNA HMO
15222233588OTHERNEW JERSEYHORIZON BC/BS
162K7529OTHERNEW JERSEYHEALTHNET
1728B141OTHERNEW HAMPSHIREEMPIRE HEALTH CARE
185711065OTHERNEW JERSEYGHI
1963162OTHERNEW JERSEYLOCAL 825 PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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