Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vishal Kottapalli, DO

Individual provider Family Medicine Physician · NPI 1053044610

Vishal Kottapalli, DO is a Family Practice in Roseburg, Oregon. Graduated from Rocky Vista University College of Osteopathic Med in 2022, 4 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
OR
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1937 W Harvard Ave
Roseburg, OR 97471-2720
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 — (541) 677-7200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO217425 (OR)

Record details

NPI number1053044610
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Group practice Centennial Medical Group East Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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