Ushasri Koganti MDSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-096808 Issued in IL

Legal business name

USHASRI KOGANTI MDSC

Practice address

1129 Columbus St
Ottawa, IL 61350

Phone

(815) 343-2048

Fax

(815) 434-2177

NPI assigned

Aug 24, 2006

Last updated

Nov 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ushasri Koganti, MDNPI 1992917009

Title

Physician

Phone

(815) 434-2048

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ushasri Koganti

  • Family Medicine Physician
  • Ottawa, IL
  • NPI 1992917009
  Authorized official Same address or phone

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1255448460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 COLUMBUS ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-343-2048",
            "fax_number": "815-434-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 COLUMBUS ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-343-2048",
            "fax_number": "815-434-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHASRI KOGANTI MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "KOGANTI",
        "authorized_official_first_name": "USHASRI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-434-2048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-096808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-096808",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard J. Torri, MASTERS DEGREE M.A.
• Ryan Joseph Tremb, D.O.
• Elizabeth Jo Trost, LCSW
• Mark Truty II, PHARMD, RPH
• Timothy Bruce Turnipseed, PT
• Robert John Uzumecki Jr., PTA
• Adam Richard Vaughan, ATC
• Daniel E Veronda, LCPC
• Melinda Vesely, LCPC
• William Curtis Vesely, D.D.S.

• Family Medicine Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.