NPIMap

Individual provider Active NPI

Anjaneyulu Karumudi, MD

  • Psychiatry Physician
  • Somerset, PA
National Provider Identifier
1003836511
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD062228L Issued in PA
Practice address
245 W Race St
Somerset, PA 15501-1922
Phone
(814) 443-4891
Fax
(814) 443-4898
NPI assigned
Jul 20, 2006
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD062228L PA Primary

Addresses

Primary practice location

245 W Race St
Somerset, PA 15501-1922

Mailing address

245 West Race Street
Somerset, PA 15501

Other identifiers 1

IdentifierTypeStateIssuer
1000001750065MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000077 PA Practitioner - Psychiatry 4385776145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

225 S Ctr Ave
Somerset, PA 15501-2033
Phone (814) 443-5845

245 W Race St
Somerset, PA 15501-1922
Phone (814) 443-4891

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65.53
Promoting interoperability
100
Improvement activities
40
Cost
76.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062228LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services Inc Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Upmc Somerset CurrentSince May 24, 2010 Accepting new patients
Upmc Somerset CurrentSince May 24, 2010 Accepting new patients
Bedford Somerset Developmental and Behavioral Health Services CurrentSince Jan 20, 1998 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

245 W Race St
Somerset, PA 15501
Phone (814) 443-4891

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: akarumudi1040783@upmc.direct-ci.com

Organizations & group practices 6

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 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1003836511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WEST RACE STREET",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W RACE ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011922",
            "telephone_number": "814-443-4891",
            "fax_number": "814-443-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUMUDI",
        "first_name": "ANJANEYULU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD062228L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000001750065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.