Madhavi L Kottapalli, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036096571 Issued in IL

Practice address

5000, South 5TH St
Hines, IL 60141

Phone

(708) 202-3800

Fax

(708) 202-2687

NPI assigned

Sep 20, 2006

Last updated

Oct 18, 2010By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1336247758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000, SOUTH 5TH ST",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-3800",
            "fax_number": "708-202-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000, SOUTH 5TH ST",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-3800",
            "fax_number": "708-202-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTAPALLI",
        "first_name": "MADHAVI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036096571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A. Korpolinski, R.D., C.D.E.
• Timothy Paul Korwin
• Natalia Kos, MSW
• Bozena L Kosowicz, LPN
• Annette Christine Kossifologos, PHARM.D.
• Svetlana Kovac, APN, AGACNP-BC, CCRN
• Amanda Sek Kozlowski, PHARMD.
• Sarah Jane Kraft, M.A.
• George Henry Kramer, RKT
• Sarah Marie Kraner, LCSW

• Internal Medicine Physician in Hines, IL
• Providers in Hines, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.