NPIMap

Organization Active NPI

Diabetes & Endocrine Consultants PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
National Provider Identifier
1144429101
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
39338 Issued in KY
Legal business name
DIABETES & ENDOCRINE CONSULTANTS PLLC
Practice address
9720 Park Plaza Ave
Suite 101
Louisville, KY 40241-2288
Phone
(502) 384-3401
Fax
(502) 384-3407
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Ramana Venkata Chennubhotla, M.D.NPI 1366498339
Title
Owner
Phone
(502) 384-3401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 39338 KY
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X 39338 KY Primary

Addresses

Primary practice location

9720 Park Plaza Ave
Suite 101
Louisville, KY 40241-2288

Mailing address

9720 Park Plaza Ave
Suite 101
Louisville, KY 40241-2288
Phone (502) 384-3401

National Provider Directory

National Provider Directory

Locations

1023 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-0717

4402 Churchman Ave
Ste 408
Louisville, KY 40215
Phone (502) 365-5140

4002 Kresge Way
Ste 122
Louisville, KY 40207

9720 Park Plaza Ave
Unit 101
Louisville, KY 40241
Phone (502) 384-3401

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1144429101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 PARK PLAZA AVE",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412288",
            "telephone_number": "502-384-3401",
            "fax_number": "502-384-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 PARK PLAZA AVE",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412288",
            "telephone_number": "502-384-3401",
            "fax_number": "502-384-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CHENNUBHOTLA",
        "authorized_official_first_name": "RAMANA",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-384-3401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39338",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "39338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.