Active NPI
Deepa Prasad Kudalkar, M.D.
- Rheumatology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 35-092770
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7708721 | Other | OH | AETNA |
| 699435 | Other | OH | BUCKEYE - MEDICARE |
| 737691 | Other | OH | ANTHEM |
| H110400 | Other | OH | MEDICARE |
| 2980181 | Other | OH | MEDICAID |
| 760174 | Other | OH | BUCKEYE - MEDICAID |
| P01107611 | Other | OH | RAILROAD MEDICARE |
| 7100287660 | Other | KY | MEDICAID |
Other names 1
- Deepa J. Balakrishnan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.21 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-092770 | OH | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Hospital Medical Specialists LLC | Rheumatology | Current | Accepting new patients |
| Trihealth H LLC | Current | 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
- 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.
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
- Urology Physician
- Cincinnati, OH
- NPI 1124341649
Rheumatology
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
-
dba TriHealth Clinton Regional Hospital
- General Acute Care Hospital
- Wilmington, OH
- NPI 1457243586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.