Active NPI
Solomon S Kuchipudi, M.D.
- Internal Medicine Physician
- Somerset, NJ
National Provider Identifier
1073544284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA74312
- Practice address
- 636 Easton Ave
Somerset, NJ 08873-1975 - Phone
- (732) 220-8811
- Fax
- (732) 220-1300
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA74312 | NJ | Primary |
Addresses
Primary practice location
636 Easton Ave
Somerset, NJ 08873-1975
Mailing address
636 Easton Ave
Somerset, NJ 08873-1975
Phone (732) 220-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
636 Easton Ave
Somerset, NJ 08873-1975
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA74312 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solomon Kuchipudi MD LLC | Internal Medicine | Current | Accepting new patients |
Locations
636 Easton Ave
Ste 1
Somerset, NJ 08873
Phone (732) 220-8811
636 Easton Ave
Somerset, NJ 08873
Phone (732) 220-8811
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEJAED/Endpoint/JEJAED
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1073544284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 EASTON AVE",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731975",
"telephone_number": "732-220-8811",
"fax_number": "732-220-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 EASTON AVE",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731975",
"telephone_number": "732-220-8811",
"fax_number": "732-220-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHIPUDI",
"first_name": "SOLOMON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA74312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.