Ramesh P Kanuru M D Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

RAMESH P KANURU M D INC

Practice address

3445 Ridge Rd
Highland, IN 46322-2049

Phone

(219) 838-1100

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Tammy Sobczak

Title

Office Manager

Phone

(219) 838-1100

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• KANURU INTERVENTIONAL SPINE & PAIN INSTI Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Colburn, NP

  • Nurse Practitioner
  • Highland, IN
  • NPI 1003956301
  Medicare reassignment Care Compare group NPD
• Ramesh P Kanuru, M.D.

  • Interventional Pain Medicine Physician
  • Highland, IN
  • NPI 1891772281
  Medicare reassignment Care Compare group
• Durga R. Kanuru, MD

  • Gynecology Physician
  • Munster, IN
  • NPI 1437159563
  NPD (past)
• William A. Dodson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Saint Joseph, MO
  • NPI 1235116625
  NPD (past)
• Jalaja V. Piska, MD

  • Anesthesiology Physician
  • Frankfort, IL
  • NPI 1427035815
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1295799559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222049",
            "telephone_number": "219-838-1100",
            "fax_number": "219-923-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222049",
            "telephone_number": "219-838-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMESH P KANURU M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "SOBCZAK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-838-1100"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259500",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramesh.kanuru@painkanuru.com",
            "affiliation": "N",
            "address_1": "3445 Ridge Rd",
            "city": "Highland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463222049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KANURU INTERVENTIONAL SPINE & PAIN INSTI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qualitycare Corp
• Quick Diagnostic Labs LLC
• Cristina Quiroz, AGPCNP-BC
• Radiance Renewed
• Thaddeus F Radziwiecki, D.P.M.
• Corina Ramirez
• Gene Michael Ranieri, DDS
• Daud Rashidi
• Allen Rawlings
• Regional Emergency Medical Services

• Anesthesiology Physician in Highland, IN
• Providers in Highland, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.