Shankaraiah R Kothapalli, M.D.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10035 Issued in LA

Practice address

134 Hospital Dr
Lafayette, LA 70503-2819

Phone

(337) 266-5592

Fax

(337) 266-5594

NPI assigned

Aug 9, 2005

Reactivated

Mar 31, 2006

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

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

Locations

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.

• Coolidge Physician Services LLC

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1609298843
  Medicare reassignment NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477554996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-266-5592",
            "fax_number": "337-266-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOSPITAL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-266-5592",
            "fax_number": "337-266-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHAPALLI",
        "first_name": "SHANKARAIAH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "10035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Frederick Kortum III, MD
• David Paul Kosnosky, DO
• Abhinaya Kotha, MBBS
• Kothapalli & Kothapalli LTD, Apmc
• Manjula Kothapalli, MD
• Joseph Mark Kowalski, MD
• KP Medical LLC
• Mary C. Kramer, MS, LDN, RD
• Stephen P Kramer, P.T., ATC
• Julian J. Krawczyk, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.