Kunal K Patra, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35203 Issued in IA

Practice address

3549 Southern Hills Dr
Sioux City, IA 51106-4736

Phone

(712) 274-6729

Fax

(712) 274-6744

NPI assigned

Mar 23, 2006

Last updated

Apr 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Plains Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Le Mars, IA
  • NPI 1356198147
  NPD (past)
• Plains Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Le Mars, IA
  • NPI 1801867734
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1366402505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5427",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511025427",
            "telephone_number": "712-274-6729",
            "fax_number": "712-274-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 SOUTHERN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064736",
            "telephone_number": "712-274-6729",
            "fax_number": "712-274-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRA",
        "first_name": "KUNAL",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "35203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430702",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "P00150357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Parra
• Parrinello Specialized Therapy Services, Inc
• Partner Medical Home Care SC LLC (Partner Medical Home Care)
• Thomas Patrick Patera, O.D.
• Pathology Medical Services of Siouxland PC
• Patrick a. Walding DC PC
• Brian Paugh, PA-C
• Kristina Pauley
• Jaclyn Joann Paulson, LMHC
• David Gerhardt Paulsrud, MD

• Psychiatry Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.