Active NPI
Panduranga Ramakrishna Kini, M.D.
- Neurology Physician
- Swansea, IL
National Provider Identifier
1205948932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Practice address
- 7 Park PL Ste a
Swansea, IL 62226-2916 - Phone
- (618) 233-1151
- Fax
- (618) 235-1079
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IL | Primary |
Addresses
Primary practice location
7 Park PL Ste a
Swansea, IL 62226-2916
Mailing address
7 Park PL Ste a
Swansea, IL 62226-2916
Phone (618) 233-1151
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000537 | Other | IL | AETNA |
| 08200528 | Other | IL | BCBS |
| 100708 | Other | IL | HEALTH LINK (HLK) |
| 34490 | Other | IL | GHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205948932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PARK PL STE A",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262916",
"telephone_number": "618-233-1151",
"fax_number": "618-235-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PARK PL STE A",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262916",
"telephone_number": "618-233-1151",
"fax_number": "618-235-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINI",
"first_name": "PANDURANGA",
"middle_name": "RAMAKRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4000537",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08200528",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK (HLK)",
"identifier": "100708",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "34490",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, IL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.