NPIMap

Individual provider Active NPI

Tarun Kukkadapu, MBBS

  • Critical Care Medicine (Internal Medicine) Physician
  • Huntsville, AL
National Provider Identifier
1003256900
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
38521 Issued in AL
Practice address
1104 Monroe St SW
Huntsville, AL 35801-5029
Phone
(256) 265-5864
Fax
(256) 265-5865
NPI assigned
Jun 25, 2013
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 38521 AL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 38521 AL Primary

Addresses

Primary practice location

1104 Monroe St SW
Huntsville, AL 35801-5029

Mailing address

PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191104000052 AL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9436440781 Reassigns benefits to 3 organizations
I20260216002857 NC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9436440781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-1198

1010 E Dixon Blvd
Shelby, NC 28152-6838
Phone (980) 487-2900

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38521ALMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Hospital Lung Center Pulmonary Disease CurrentSince Oct 1, 2019 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 5, 2026 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Jan 5, 2026 Accepting new patients
North Alabama Specialty Hospital CurrentSince Sep 5, 2024 Accepting new patients
HH Physicians Network Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
North Alabama Specialty Hospital CurrentSince Sep 5, 2024 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

107 Governors Dr SW
Huntsville, AL 35801
Phone (256) 417-9986

1104 Monroe St SW
Huntsville, AL 35801
Phone (256) 265-7000

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

1000 Chinaberry Dr
Ste 200
Bossier City, LA 71111

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1010 E Dixon Blvd
Shelby, NC 28152
Phone (980) 487-2700

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: tkukkadapu3025231@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1003256900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-5864",
            "fax_number": "256-265-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MONROE ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015029",
            "telephone_number": "256-265-5864",
            "fax_number": "256-265-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKKADAPU",
        "first_name": "TARUN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "38521",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "38521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.