Active NPI
Usha S Polisetty, MD
- Specialist
- Mt Sterling, KY
National Provider Identifier
1073584389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 23824
- Practice address
- 50 Sterling Ave
Box 7
Mt Sterling, KY 40353-1100 - Phone
- (859) 497-7781
- Fax
- (859) 497-6017
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 23824 | KY | Primary |
Addresses
Primary practice location
50 Sterling Ave
Box 7
Mt Sterling, KY 40353-1100
Mailing address
PO Box 1071
Pikeville, KY 41702-9483
Phone (859) 497-7781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64238249 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23824 | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naroda, PLC, LLC | Past | Accepting new patients | |
| Naroda Medical LLC | Past | Accepting new patients |
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.
-
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- Hazard, KY
- NPI 1083708341
-
- Nephrology Physician
- Hazard, KY
- NPI 1912179482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1073584389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1071",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "417029483",
"telephone_number": "859-497-7781",
"fax_number": "859-497-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STERLING AVE",
"address_2": "BOX 7",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403531100",
"telephone_number": "859-497-7781",
"fax_number": "859-497-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLISETTY",
"first_name": "USHA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "23824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64238249",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.