NPIMap

Individual provider Active NPI

Radhika Medipalli, M.D.

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1265510101
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
45912 Issued in WI
Practice address
13901 McAuley Blvd Ste 303
Oklahoma City, OK 73134-8704
Phone
(405) 748-5800
Fax
(405) 748-5806
NPI assigned
Nov 1, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 45912 WI Primary

Addresses

Primary practice location

13901 McAuley Blvd Ste 303
Oklahoma City, OK 73134-8704

Mailing address

13901 McAuley Blvd
100
Oklahoma City, OK 73134-8700
Phone (405) 748-5800

Other identifiers 1

IdentifierTypeStateIssuer
200210620AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000140 OK Practitioner - NephrologyPractitioner - Internal Medicine 1850467184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Kidney Care PCGroup PAC ID 0648370775, 4 clinicians

Practice addresses (Care Compare)

13901 McAuley Blvd
Suite 303
Oklahoma City, OK 73134-8704
Phone (405) 748-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as individual
Quality
77.47
Promoting interoperability
100
Improvement activities
40
Cost
63.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45912WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Kidney Care PC Nephrology CurrentSince Jul 1, 2008 Accepting new patients

Locations

4140 W Memorial Rd
Ste 518
Oklahoma City, OK 73120
Phone (405) 749-4212

13901 McAuley Blvd
Ste 100
Oklahoma City, OK 73134
Phone (405) 748-5800

13901 McAuley Blvd
Ste 303
Oklahoma City, OK 73134
Phone (405) 748-5800

Interoperability endpoints

  • Direct secure messaging: rmedipalli26452@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1265510101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "address_2": "100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5800",
            "fax_number": "405-748-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD STE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348704",
            "telephone_number": "405-748-5800",
            "fax_number": "405-748-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIPALLI",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "45912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200210620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.