Madhusudana R Korrapati, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2020-04209 Issued in NC

Practice address

300 Old Country Rd
Suite 111
Mineola, NY 11501-4198

Phone

(516) 745-0500

Fax

(516) 745-1534

NPI assigned

Jul 8, 2005

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Nephrology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Carolina Kidney Associates PAGroup PAC ID 8729130711, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkorrapati33753@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Carolina Kidney Associates PA

  • Nephrology Physician
  • Burlington, NC
  • NPI 1356582506
  Medicare reassignment Care Compare group NPD
• Queens Nassau Nephrology Services PLLC

  • Nephrology Physician
  • Mineola, NY
  • NPI 1770988909
  NPD
• Knickerbocker Dialysis Inc

  dba Elmcare Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elmhurst, NY
  • NPI 1013642404
  NPD (past)
• Long Island Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amityville, NY
  • NPI 1447492079
  NPD (past)

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

• Alamance Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Burlington, NC
  • NPI 1326010273
  Care Compare affiliation

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1255339834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 PROFESSIONAL PARK DR STE D",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158573",
            "telephone_number": "336-584-4913",
            "fax_number": "336-584-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD",
            "address_2": "SUITE 111",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014198",
            "telephone_number": "516-745-0500",
            "fax_number": "516-745-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRAPATI",
        "first_name": "MADHUSUDANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "207703",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2020-04209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• May W Kong, M.D.
• Stephanie Kong, DO
• Steven Eric Kong, MD
• Marlene Rachel Konner, MD
• Diana Kopach, DDS
• Binny Koshy, M.D.
• Tarush Kothari, M.D
• Assile Koubeissy, DO
• Gena Nicole Koutsounadis, DO
• Susan D Kraker, NURSE PRACTITIONER

• Nephrology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.