Bhavya Kothapalli C L

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2018043614 Issued in MO

Practice address

14029 Barkley St Apt 607
Overland Park, KS 66223-3719

Phone

(816) 332-3181

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Medina Clinic, Incorporated

  dba The Medina Clinic

  • Primary Care Clinic/Center
  • Grandview, MO
  • NPI 1073893046
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1285191783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14029 BARKLEY ST APT 607",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233719",
            "telephone_number": "816-332-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14029 BARKLEY ST APT 607",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233719",
            "telephone_number": "816-332-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13013 Fuller Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640302687",
            "country_code": "US",
            "telephone_number": "816-214-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHAPALLI C L",
        "first_name": "BHAVYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018043614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kore Lab Solutions LLC
• Andrea Leigh Korschot, DPT
• Heather Michelle Kort, D.O.
• Wesley Allen Kosko, PHARMD
• Louisa Kostrzewski
• Tyler Joseph Koupal, DDS
• Brandan Kovacs, MD
• Ian Thomas Kozlowski, MD
• KPC Promise Hospital of Overland Park LLC
• KPC Promise Skilled Nursing Facility of Overland Park LLC

• Physician Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.