Bhupal Kommineni, MD FACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00A346510 Issued in CA

Practice address

1330 San Bernardino Road
Suite G
Upland, CA 91786-4974

Phone

(909) 981-0989

Fax

(909) 949-6214

NPI assigned

Feb 8, 2006

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bhupal JC Bose Kommineni Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mukesh Amin MD & Tejinder Singh MD Inc

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1932106382
  Medicare reassignment NPD
• Sach Physician Billing Trust

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1720194129
  Medicare reassignment NPD
• Bhupal Kommineni, M.D. Inc.

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1508051566
  Authorized official Same address or phone

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1457324808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO ROAD",
            "address_2": "SUITE G",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864974",
            "telephone_number": "909-981-0989",
            "fax_number": "909-949-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO ROAD",
            "address_2": "SUITE G",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864974",
            "telephone_number": "909-981-0989",
            "fax_number": "909-949-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMINENI",
        "first_name": "BHUPAL",
        "credential": "MD FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A346510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953729807",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A346510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHUPAL",
            "last_name": "KOMMINENI",
            "middle_name": "JC BOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ko and Nam DDS a Professional Dental Corporation
• Yohan Ko, L.AC
• Judith A. Koerner, LMFT
• Morris Kokhab, M.D.
• Robert James Kolesnik, MD
• Sean Shukue Kono, D.C.
• Choon Sil Koo, M.D.
• Kopper Imaging
• Nabil Koudsi, MD
• Melissa Duran Kramer, FNP

• Internal Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.