Active NPI
Kalyani Medicherla Kumar, M.D.
- Gynecology Physician
- Sparta, TN
National Provider Identifier
1396987491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 6406379
- Practice address
- 411 Sewell Dr
Sparta, TN 38583-1223 - Phone
- (931) 738-9140
- Fax
- (931) 738-9142
- NPI assigned
- Apr 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 6406379 | TN | Primary |
Addresses
Primary practice location
411 Sewell Dr
Sparta, TN 38583-1223
Mailing address
421 Sewell Dr
Sparta, TN 38583-1223
Phone (931) 738-4395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6406379 | TN | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1396987491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 SEWELL DR",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831223",
"telephone_number": "931-738-4395",
"fax_number": "931-738-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SEWELL DR",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831223",
"telephone_number": "931-738-9140",
"fax_number": "931-738-9142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "KALYANI",
"middle_name": "MEDICHERLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-03",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "6406379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.