Sudheera Kalepu, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-31798 Issued in KS

Practice address

6751 N Chestnut St
Ravenna, OH 44266-3903

Phone

(330) 296-3641

Fax

(330) 296-5297

NPI assigned

Mar 22, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235255894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MEDWAY RD",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433724",
            "telephone_number": "440-785-1594",
            "fax_number": "440-646-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663903",
            "telephone_number": "330-296-3641",
            "fax_number": "330-296-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEPU",
        "first_name": "SUDHEERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-31798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA ID NUMBER",
            "identifier": "VAD000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENCE NUMB",
            "identifier": "04-31798",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Jurovcik
• Muhamad Rasyeed Ramadan Jusran, FNP-C
• Amanda Sue Justice
• Nicole Kaiser, MD
• Ricky Kaiser
• Thomas Michael Kamlowsky, RPH
• Kaylyn Kane
• Bryan Karazsia, INTERN
• Kimberly R Kavulla, CNP
• James Kaylor Jr.

• Internal Medicine Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Internal Medicine Physician in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.