Individual provider Active NPI

Krishna M Rayapudi, MD

  • Gastroenterology Physician
  • Hilliard, OH
National Provider Identifier
1467688093
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35 125110 Issued in OH
Practice address
4600 Leap CT
Hilliard, OH 43026
Phone
(614) 385-5900
Fax
(614) 385-5935
NPI assigned
Jun 10, 2009
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35 125110 OH Primary

Addresses

Primary practice location

4600 Leap CT
Hilliard, OH 43026

Mailing address

4600 Leap CT
Hilliard, OH 43026-9822
Phone (614) 385-5900

Other identifiers 1

IdentifierTypeStateIssuer
0121807MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150406001691 OH Practitioner - Gastroenterology 8123163722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Office LLCGroup PAC ID 4183983232, 4 clinicians

Practice addresses (Care Compare)

4600 Leap CT
Suite 101
Hilliard, OH 43026-1232
Phone (614) 385-5900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 125110OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus One Endoscopy LLC Current Accepting new patients
Gastro Office LLC Gastroenterology CurrentSince Nov 1, 2017 Accepting new patients
Columbus One Anesthesia LLC Gastroenterology CurrentSince Feb 1, 2018 Accepting new patients
Challa Ajit, M.D. LLC Gastroenterology CurrentSince May 15, 2018 Accepting new patients
Gcga Physicians Inc. Gastroenterology Past Accepting new patients

Locations

4600 Leap Ct
Hilliard, OH 43026
Phone (614) 771-8800

4600 Leap Ct
Ste 101
Hilliard, OH 43026
Phone (614) 385-5900

2355 Derr Rd
Ste A
Springfield, OH 45503
Phone (937) 629-0100

Organizations & group practices 5

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1467688093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LEAP CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269822",
            "telephone_number": "614-385-5900",
            "fax_number": "614-385-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LEAP CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "43026",
            "telephone_number": "614-385-5900",
            "fax_number": "614-385-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYAPUDI",
        "first_name": "KRISHNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35 125110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.