NPIMap

Individual provider Active NPI

Lakshmana K. Pendyala, MD

  • Cardiovascular Disease Physician
  • Jeffersonville, IN
National Provider Identifier
1144217746
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01066037A Issued in IN
Practice address
41 Quatermaster Court
Jeffersonville, IN 47130-3623
Phone
(812) 282-1617
Fax
(812) 288-7628
NPI assigned
Sep 29, 2005
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 42288 KY
Cardiovascular Disease Physician 207RC0000X 01066037A IN Primary

Addresses

Primary practice location

41 Quatermaster Court
Jeffersonville, IN 47130-3623

Mailing address

800 Highlander Point Dr
Suite 240
Floyds Knobs, IN 47119-9465
Phone (812) 542-4921

Other identifiers 1

IdentifierTypeStateIssuer
200940910MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpendyala34567@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909000592 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5092794479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550

41 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 282-1617

691 Main St NE
Palmyra, IN 47164-8894
Phone (812) 542-4921

705 Fairground Rd
Scottsburg, IN 47170-6778
Phone (812) 752-0165

941 W McClain Ave
Suite C
Scottsburg, IN 47170-1158
Phone (812) 752-7705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Southeastern Physician Services PC Past Accepting new patients
Hospitalist Medicine Physicians of DC PC Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients

Locations

41 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-1617

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Interoperability endpoints

  • Direct secure messaging: lpendyala@direct.iuhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1144217746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HIGHLANDER POINT DR",
            "address_2": "SUITE 240",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199465",
            "telephone_number": "812-542-4921",
            "fax_number": "812-949-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 QUATERMASTER COURT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303623",
            "telephone_number": "812-282-1617",
            "fax_number": "812-288-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDYALA",
        "first_name": "LAKSHMANA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "42288",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01066037A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200940910",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpendyala34567@bhkydirect.com",
            "affiliation": "N",
            "address_1": "41 Quatermaster Court",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.