Active NPI
Covid MD PLLC
- Multi-Specialty Clinic/Center
- New York, NY
National Provider Identifier
1447868419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- COVID MD PLLC
- Practice address
- 85 Broad St FL 18
New York, NY 10004-2783 - Phone
- (617) 981-0920
- NPI assigned
- Jul 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravi Kumar Kamepallli, MD
- Title
- Owner
- Phone
- (800) 448-7414
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
85 Broad St FL 18
New York, NY 10004-2783
Mailing address
85 Broad St FL 18
New York, NY 10004-2783
Phone (617) 981-0920
Other practice location 1
1999 Bryan St Ste 900
Dallas, TX 75201-3140
Phone (617) 981-0920
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594857600000",
"number": "1447868419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BROAD ST FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042783",
"telephone_number": "617-981-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BROAD ST FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042783",
"telephone_number": "617-981-0920"
}
],
"practiceLocations": [
{
"address_1": "1999 Bryan St Ste 900",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752013140",
"country_code": "US",
"telephone_number": "617-981-0920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COVID MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A",
"authorized_official_last_name": "KAMEPALLLI",
"authorized_official_first_name": "RAVI",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-448-7414",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.