Individual provider Active NPI

June C Kunapareddy

  • Dermatology Physician
  • Terre Haute, IN
National Provider Identifier
1124414388
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
02005755A Issued in IN
Practice address
2133 S State Road 46
Terre Haute, IN 47803-9781
Phone
(812) 244-1800
Fax
(812) 645-0923
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 02005755A IN Primary

Addresses

Primary practice location

2133 S State Road 46
Terre Haute, IN 47803-9781

Mailing address

2133 S State Road 46
Terre Haute, IN 47803-9781
Phone (812) 244-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20190820001737 IN Practitioner - Dermatology 0941538698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

422 Poplar St
Apt Ands
Terre Haute, IN 47807-4209
Phone (812) 242-3700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions726
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC Dermatology CurrentSince Aug 26, 2019 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Aug 26, 2019 Accepting new patients

Locations

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

422 Poplar St
Terre Haute, IN 47807
Phone (812) 242-3700

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1124414388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S STATE ROAD 46",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039781",
            "telephone_number": "812-244-1800",
            "fax_number": "812-645-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 S STATE ROAD 46",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039781",
            "telephone_number": "812-244-1800",
            "fax_number": "812-645-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAPAREDDY",
        "first_name": "JUNE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "02005755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.