Karunasree Kanuri, M.D.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22060 Issued in WV

Practice address

1115 2ND Ave
West Logan, WV 25601-3309

Phone

(304) 831-0085

Fax

(304) 831-0088

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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 WV

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 PracticeAlso: Hospitalist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Development Co. 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roane General Hospital Hospital, Spencer, WV, CCN 511306
• Roane General Hospital Nursing home, CCN 51Z306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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 Development Co

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322

  WV

  Medicare reassignment Care Compare group NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Left Hand, WV
  • NPI 1790745677

  WV

  Medicare reassignment Care Compare group NPD
• Apogee Medical Group, West Virginia, PLLC

  • General Practice Physician
  • Logan, WV
  • NPI 1669708442

  WV

  Medicare reassignment NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Arnoldsburg, WV
  • NPI 1053059881
  Care Compare group NPD
• Hospital Development Co

  • Ambulance
  • Spencer, WV
  • NPI 1710697040
  Care Compare group NPD
• Hospital Development Co

  • Family Medicine Physician
  • Walton, WV
  • NPI 1639423411
  Care Compare group
• Hospital Development Co

  • Rural Health Clinic/Center
  • Spencer, WV
  • NPI 1790745172
  Care Compare group
• Hospital Development Co

  • Skilled Nursing Facility
  • Spencer, WV
  • NPI 1811958267
  Care Compare group
• Hospital Development Co

  • Rural Health Clinic/Center
  • Spencer, WV
  • NPI 1922068469
  Care Compare group
• Hospital Development Co.

  • Medicare Defined Swing Bed Hospital Unit
  • Spencer, WV
  • NPI 1063509263
  Care Compare group
• Hospital Development Co

  • Emergency Medicine Physician
  • Spencer, WV
  • NPI 1184721581

  Family Medicine

  NPD
• Trinity Health Care Services of Logan Inc

  • Nursing Facility/Intermediate Care Facility
  • Logan, WV
  • NPI 1386729036
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Development Co

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322

  Hospital

  Care Compare affiliation
• Hospital Development Co.

  • Medicare Defined Swing Bed Hospital Unit
  • Spencer, WV
  • NPI 1063509263

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174612907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 2ND AVE",
            "city": "WEST LOGAN",
            "state": "WV",
            "postal_code": "256013309",
            "telephone_number": "304-831-0085",
            "fax_number": "304-831-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 2ND AVE",
            "city": "WEST LOGAN",
            "state": "WV",
            "postal_code": "256013309",
            "telephone_number": "304-831-0085",
            "fax_number": "304-831-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANURI",
        "first_name": "KARUNASREE",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003597",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Alford
• Kayla Marie Ballard
• Patricia D Hensley
• Megan E King
• Legacy Family Medicine LLC
• New Horizon Healthcare
• Summer Nicole New, FNP-BC
• Cynthia Shepherd

• All providers in West Logan, WV
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.