Anu Radha Konakanchi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD055549L Issued in PA

Practice address

261 Old York Rd
Suite 304
Jenkintown, PA 19046-3706

Phone

(215) 887-9840

Fax

(215) 887-9842

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1073507216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "STE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 304",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-887-9840",
            "fax_number": "215-887-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONAKANCHI",
        "first_name": "ANU",
        "middle_name": "RADHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD055549L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523900",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol M King, M.ED.
• Carla Kisel, OTR/L
• Morgan Klipper, RD LDN
• William Michael Klose Jr., ATC
• Atsuko Kodama, MD, PHD
• Stephanie Koszarek
• Sara Kotilainen
• Eniko Kovats, MD
• Karel Debra Kovnat, PH.D.
• Emily Anne Kravinsky, MD

• Internal Medicine Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.