Jithander R Katkuri, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000031779 Issued in TN

Practice address

713A President PL
Smyrna, TN 37167-5652

Phone

(615) 220-0056

Fax

(615) 220-0456

NPI assigned

May 27, 2006

Sex

Male

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBJBAA
• FHIR API: https://fhir4.healow.com/fhir/r4/FBJBAA/Endpoint/FBJBAA

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.

• Family Care of Middletennessee

  • Specialist
  • Smyrna, TN
  • NPI 1992985055
  Medicare reassignment NPD Authorized official
• Madison Behavioral Health, LLC

  • Psychiatry Physician
  • Madison, TN
  • NPI 1891741450
  NPD (past)
• Madison Behavioral Health, LLC

  • Psychiatry Physician
  • Madison, TN
  • NPI 1912938515
  NPD (past)
• Nes Tennessee, Inc.

  • Emergency Medicine Physician
  • Shelbyville, TN
  • NPI 1427039858
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1114974979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713A PRESIDENT PL",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675652",
            "telephone_number": "615-220-0056",
            "fax_number": "615-220-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713A PRESIDENT PL",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675652",
            "telephone_number": "615-220-0056",
            "fax_number": "615-220-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATKURI",
        "first_name": "JITHANDER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000031779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K'S Therapies, LLC
• Kyle Kaesberg, PHARMD
• Henrietta Bayeldeng Kala
• Paul Kaneshiro, DDS
• Karlene Guasteferro DDS Mobile / Teledentistry, Inc.
• Christopher Phillip Kauffman, MD
• KDDS LLC
• Emily Keeter, DPM
• William Jeffrey Keeton, DDS
• Alexandra Nicole Keller, AGACNP-BC

• Family Medicine Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.

Verify at the official NPI Registry.