Individual provider Active NPI

Deepa Prasad Kudalkar, M.D.

  • Rheumatology Physician
  • Cincinnati, OH
National Provider Identifier
1437157146
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35-092770 Issued in OH
Practice address
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone
(513) 246-7016
Fax
(513) 852-3283
NPI assigned
Jul 7, 2005
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11197 NV
Rheumatology Physician 207RR0500X 35-092770 OH Primary

Addresses

Primary practice location

379 Dixmyth Ave
Cincinnati, OH 45220-2475

Mailing address

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7016

Other practice location 1

2355 Norwood Ave
Suite 1
Cincinnati, OH 45212-2750
Phone (513) 351-0800

Other identifiers 8

IdentifierTypeStateIssuer
7708721OtherOHAETNA
699435OtherOHBUCKEYE - MEDICARE
737691OtherOHANTHEM
H110400OtherOHMEDICARE
2980181OtherOHMEDICAID
760174OtherOHBUCKEYE - MEDICAID
P01107611OtherOHRAILROAD MEDICARE
7100287660OtherKYMEDICAID

Other names 1

  • Deepa J. Balakrishnan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkudalkar9324@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000351 OH Practitioner - Rheumatology 7618913765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-092770OHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC Rheumatology CurrentSince Apr 15, 2012 Accepting new patients
Trihealth H LLC CurrentSince Nov 18, 2024 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

2355 Norwood Ave
Cincinnati, OH 45212
Phone (513) 351-0800

2355 Norwood Ave
Ste 1
Cincinnati, OH 45212
Phone (513) 351-0800

237 William Howard Taft Rd
#002
Cincinnati, OH 45219
Phone (513) 263-8571

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

379 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-1400

10506B Montgomery Rd
Montgomery, OH 45242
Phone (513) 346-5170

Interoperability endpoints

  • Direct secure messaging: dkudalkar449869@direct.trihealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1437157146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-246-7016",
            "fax_number": "513-852-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-246-7016",
            "fax_number": "513-852-3283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Norwood Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452122750",
            "country_code": "US",
            "telephone_number": "513-351-0800",
            "fax_number": "513-351-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDALKAR",
        "first_name": "DEEPA",
        "middle_name": "PRASAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11197",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35-092770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7708721",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE - MEDICARE",
            "identifier": "699435",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "737691",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H110400",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2980181",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE - MEDICAID",
            "identifier": "760174",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01107611",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "7100287660",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkudalkar9324@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2355 Norwood Ave",
            "address_2": "Suite 1",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452122750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEEPA",
            "last_name": "BALAKRISHNAN",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.