Srinivas B Rapuri, MD
Individual provider Active NPI Internal Medicine Physician · Lancaster, KY
NPI 1457478117 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1457478117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 43179 (KY)
- Practice address
- 230 Lexington Street
D
Lancaster, KY 40444-1179 - Phone
- (859) 304-5157
- Fax
- (859) 304-5159
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- V Care Health Solutions LLC
Practice addresses (Care Compare)
230 Lexington St
Suite D
Lancaster, KY 40444-1179
Phone (859) 304-5157
Hospital & facility affiliations
- Ephraim McDowell Fort Logan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Lancaster Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Officer W-2 Managing Employee |
Nov 16, 2015 Nov 16, 2015 Nov 16, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091210000005 | KY | Practitioner - Family Practice |
1254470933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT188156 | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT188156 | PA | |
| Internal Medicine Physician | 207R00000X | 43179 | KY | Yes |
Addresses
Primary practice location
230 Lexington Street
D
Lancaster, KY 40444-1179
Mailing address
230 Lexington Street
#D
Lancaster, KY 40444-1179
Phone (859) 304-5157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100123200 | Medicaid | KY |
Other providers in Lancaster, KY
- Melanie Grey Parsons
- Dev Patel
- Kevin Pettus
- Primary Care of the Bluegrass
- Danielle Purcell
- Reflections Wellness and Recovery
- Candace E. Robinson
- Roslyn E Rodeheaver
- Samantha Brooke Shell
- Kristi Short
All providers in Lancaster, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.