Individual provider Active NPI

Arthi Devaraju Kaundar, M.D

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1184853590
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45886 Issued in KY
Practice address
4805 Southside Dr
Louisville, KY 40214
Phone
(502) 772-8860
Fax
(502) 996-8309
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45886 KY Primary

Addresses

Primary practice location

4805 Southside Dr
Louisville, KY 40214

Mailing address

PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4700

Other identifiers 1

IdentifierTypeStateIssuer
7100242720MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130801000510 KY Practitioner - Family Practice 9234370321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers IncGroup PAC ID 6901700053, 51 clinicians

Practice addresses (Care Compare)

4615 Taylor Blvd
Louisville, KY 40215-2307
Phone (502) 953-4700

4803 Southside Dr
Louisville, KY 40214-2111
Phone (502) 363-8606

4805 Southside Dr
Louisville, KY 40214-2111
Phone (502) 772-8860

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Jul 1, 2013 Accepting new patients

Locations

1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381

712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972

4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381

834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981

4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

4805 Southside Dr
Louisville, KY 40214
Phone (502) 772-8860

Interoperability endpoints

  • Direct secure messaging: arthi.kaundar@fhci.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1184853590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950244",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950244",
            "telephone_number": "502-953-4700",
            "fax_number": "502-772-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 SOUTHSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40214",
            "telephone_number": "502-772-8860",
            "fax_number": "502-996-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAJU KAUNDAR",
        "first_name": "ARTHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100242720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.