NPIMap

Individual provider Active NPI

Deepthi C. Kurakula, M.D.

  • Nephrology Physician
  • Muncie, IN
National Provider Identifier
1033419882
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2013017840 Issued in MO
Practice address
800 S Tillotson Ave
Muncie, IN 47304-4529
Phone
(765) 281-2000
Fax
(765) 281-2062
NPI assigned
Oct 27, 2010
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57-018714 OH
Nephrology Physician 207RN0300X 2013017840 MO Primary

Addresses

Primary practice location

800 S Tillotson Ave
Muncie, IN 47304-4529

Mailing address

800 S Tillotson Ave
Muncie, IN 47304-4529
Phone (765) 281-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150618002384 IN Practitioner - NephrologyPractitioner - Internal Medicine 2860626439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111

5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 286-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013017840MOMDNephrology Physician
57-018714OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822

800 S Tillotson Ave
Muncie, IN 47304
Phone (765) 289-5410

Interoperability endpoints

  • Direct secure messaging: dkurakula@direct.iuhealth.org

Organizations & group practices 2

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 10

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1033419882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044529",
            "telephone_number": "765-281-2000",
            "fax_number": "765-281-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044529",
            "telephone_number": "765-281-2000",
            "fax_number": "765-281-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAKULA",
        "first_name": "DEEPTHI",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-018714",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2013017840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.