Individual provider Active NPI

Ramanasri V Kudipudi, MD

  • Infectious Disease Physician
  • Freehold, NJ
National Provider Identifier
1447325311
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA07472000 Issued in NJ
Practice address
CN 5050, 901 West Main Street
Suite 260
Freehold, NJ 07728
Phone
(732) 685-9243
Fax
(732) 631-9924
NPI assigned
Nov 23, 2006
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA07472000 NJ Primary

Addresses

Primary practice location

CN 5050, 901 West Main Street
Suite 260
Freehold, NJ 07728

Mailing address

31 Yellow Brook Rd
Holmdel, NJ 07733-1967
Phone (732) 685-9243

Other identifiers 1

IdentifierTypeStateIssuer
8972401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040315000028 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 8426947714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31 Yellow Brook Rd
Holmdel, NJ 07733-1967

901 W Main St
Suite 203
Freehold, NJ 07728-2537
Phone (732) 685-9243

CN 5050
Suite 240
Freehold, NJ 07728

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.97 of 100Reported as individual
Quality
62.57
Improvement activities
0
Cost
70.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Infectious Diseases and Intl. Travel Care of Monmouth, P.C. CurrentSince Mar 31, 2008 Accepting new patients
Centrastate Specialists, P.C. CurrentSince Jul 1, 2022 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Ste 203
Freehold, NJ 07728
Phone (732) 685-9243

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 685-9243

901 W Main St
Ste B
Freehold, NJ 07728

Interoperability endpoints

  • Direct secure messaging: rkudipudi425645@direct.ahsys.org

Organizations & group practices 2

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 2

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": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1447325311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 YELLOW BROOK RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331967",
            "telephone_number": "732-685-9243",
            "fax_number": "732-631-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CN 5050, 901 WEST MAIN STREET",
            "address_2": "SUITE 260",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-685-9243",
            "fax_number": "732-631-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDIPUDI",
        "first_name": "RAMANASRI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA07472000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8972401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.