Manjula Kothapalli, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10034R Issued in LA

Practice address

3149 Ambassador Caffery Pkwy
Lafayette, LA 70506-7209

Phone

(337) 706-3415

Fax

(337) 706-3460

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dana Grbic, MD, a Professional Medical Corporation

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1407865496
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1457455628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067209",
            "telephone_number": "337-706-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067209",
            "telephone_number": "337-706-3415",
            "fax_number": "337-706-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHAPALLI",
        "first_name": "MANJULA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10034R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977322",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kortneys Kounseling Services, LLC
• William Frederick Kortum III, MD
• David Paul Kosnosky, DO
• Abhinaya Kotha, MBBS
• Kothapalli & Kothapalli LTD, Apmc
• Shankaraiah R Kothapalli, M.D.,
• Joseph Mark Kowalski, MD
• KP Medical LLC (Prevail Heart Clinics of America-Lafayette)
• Mary C. Kramer, MS, LDN, RD
• Stephen P Kramer, P.T., ATC

• Family Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.