NPIMap

Individual provider Active NPI

Sri Prakash L Mokshagundam, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
National Provider Identifier
1033156328
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
28777 Issued in KY
Practice address
401 E Chestnut St
Ste #310
Louisville, KY 40202-5700
Phone
(502) 588-4600
Fax
(502) 589-5093
NPI assigned
Jun 2, 2006
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 28777 KY Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01046741A IN

Addresses

Primary practice location

401 E Chestnut St
Ste #310
Louisville, KY 40202-5700

Mailing address

401 E Chestnut St
Ste #310
Louisville, KY 40202-5700
Phone (502) 588-4600

Other identifiers 2

IdentifierTypeStateIssuer
64287774MedicaidKY
200058880MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150107001712 KY Practitioner - EndocrinologyPractitioner - Internal Medicine 1254439888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth of KentuckyGroup PAC ID 0840180816, 28 clinicians

Practice addresses (Care Compare)

220 Abraham Flexner Way
Louisville, KY 40202-3826

401 E Chestnut St
Louisville, KY 40202-5700

4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone 50236823482223

530 S Jackson St
Louisville, KY 40202-1675

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky CurrentSince Jun 21, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2014 Accepting new patients
Commonwealth of Kentucky CurrentSince Jun 21, 2017 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2014 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients
University Medical Associates Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients
University of Louisville Physicians Inc. Past Accepting new patients
University Medical Services Foundation Inc Past Accepting new patients
Bond Clinic PA Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

428 Vincennes St
New Albany, IN 47150
Phone (812) 948-5841

217 E Chestnut St
Louisville, KY 40202
Phone (502) 447-5500

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

4501 Louise Underwood Way
Louisville, KY 40216
Phone (502) 368-2348

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

550 S Jackson St
Fl First
Louisville, KY 40202
Phone (502) 852-0011

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: smokshagundam13877@uoflhealth-dm.org

Organizations & group practices 11

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1033156328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "STE #310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-588-4600",
            "fax_number": "502-589-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "STE #310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-588-4600",
            "fax_number": "502-589-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKSHAGUNDAM",
        "first_name": "SRI PRAKASH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "28777",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01046741A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64287774",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058880",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.