Cancer Care Center of Southern Indiana, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01045226 Issued in IN

Legal business name

CANCER CARE CENTER OF SOUTHERN INDIANA, LLC

Practice address

514 W 2ND St
Bloomington, IN 47403-2316

Phone

(812) 323-1535

Fax

(812) 323-0145

NPI assigned

May 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karuna S Koneru I, MDNPI 1336146372

Title

Owner

Phone

(812) 323-1535

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karuna S Koneru, M.D.

  • Hematology & Oncology Physician
  • Bloomington, IN
  • NPI 1336146372
  NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184825242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032316",
            "telephone_number": "812-323-1535",
            "fax_number": "812-323-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032316",
            "telephone_number": "812-323-1535",
            "fax_number": "812-323-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE CENTER OF SOUTHERN INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "KARUNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-323-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01045226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "00000031149",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura L Campbell
• Liza Marie Campbell, DC
• Lori K Campbell, PH.D., HSPP
• Marcia Jo Campbell, MD
• William T. Campbell III, M.D.
• Rowan Tracy Candy, O.D.
• Lauren Cantor
• Otis Cantrell, MT-BC
• Jonna Marie Capio, LMHC, MS, EDS
• Jean Capler, LCSW

• Specialist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.