Kausalya Chilukuri, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01039517A Issued in IN

Practice address

4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521

Phone

(812) 858-5050

Fax

(812) 858-3680

NPI assigned

Nov 30, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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 Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Evansville, IN, CCN 157281
• Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325
• The Women'S Hospital Hospital, Newburgh, IN, CCN 150149

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• St Mary'S Medical Group, LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539
  Medicare reassignment Care Compare group NPD
• St Mary'S Medical Group, LLC

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873
  NPD

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

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Deaconess Women'S Hospital of Southern Indiana, LLC

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1114023512
  Care Compare affiliation
• St. Mary'S at Home, LLC

  • Home Health Agency
  • Evansville, IN
  • NPI 1780687061
  Care Compare affiliation
• St. Mary'S Health, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957
  Care Compare affiliation
• St. Mary'S Warrick Hospital, Inc.

  • Critical Access Hospital
  • Boonville, IN
  • NPI 1205828803
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1245214501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-5050",
            "fax_number": "812-858-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-5050",
            "fax_number": "812-858-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILUKURI",
        "first_name": "KAUSALYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039517A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kausalya.chilukuri.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "4166 Wyntree Dr",
            "address_2": "Suite A",
            "city": "Newburgh",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476302521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Grace Chandler, FNP-C
• Leigh Ann Chapman, MA, BCBA, LBA
• Charity Charles, RBT
• Meagan Chase
• Chilukuri MDS LLC
• Krishna R. Chilukuri, M.D.
• Rebecca A. Chilvers, MD
• Chirorevolution
• Godwin Mulenga Chishala
• Alexia Chism

• Family Medicine Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.