Individual provider Active NPI

Rudra Pampati, MD

  • Vascular & Interventional Radiology Physician
  • Edgewood, KY
National Provider Identifier
1477901080
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
55778 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2160
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 55778 KY
Vascular & Interventional Radiology Physician 2085R0204X 55778 KY Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

1500 E Medical Center Dr
2110 Taubman Center
Ann Arbor, MI 48109-5346

Other practice location 1

1500 E Medical Center Dr
5582 CVC
Ann Arbor, MI 48109-5868
Phone (734) 936-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220428000640 IN Practitioner - Diagnostic Radiology 9739479908 Reassigns benefits to 1 organization
I20220506000986 KY Practitioner - Diagnostic Radiology 9739479908 Reassigns benefits to 1 organization
I20240618003637 OH Practitioner - Interventional Radiology 9739479908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians
Tri State Urologic Services PSC IncGroup PAC ID 6204740889, 74 clinicians
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

10220 Alliance Rd
Blue Ash, OH 45242-4710
Phone (513) 841-7800

11333 Cornell Park Dr
Suite 200
Blue Ash, OH 45242-1813
Phone (513) 751-6667

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

2925 Vernon PL
Cincinnati, OH 45219-2425

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

4746 Montgomery Rd
Suite 202
Norwood, OH 45212-2628
Phone (513) 751-6667

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

7372 Liberty One Dr
Liberty Township, OH 45044-8872
Phone (513) 751-6667

8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone (513) 793-3933

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55778KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Vascular & Interventional Radiology CurrentSince Aug 1, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Aug 1, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients
Gcga Physicians Inc. CurrentSince Aug 18, 2024 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
B&D Radiology Partners PLLC Diagnostic Radiology PastSince Sep 1, 2017 Accepting new patients

Locations (25 of 39)

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

7200 Alexandria Pike
Alexandria, KY 41001
Phone (859) 344-5652

122 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 836-0202

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

375 Thomas More Pkwy
Ste 209
Crestview Hills, KY 41017
Phone (859) 341-4842

375 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 341-4525

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

500 Thomas More Pkwy
Ste 2
Crestview Hls, KY 41017
Phone (859) 341-4842

2904 Foltz Dr
Edgewood, KY 41017
Phone (859) 795-3000

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

830 Thomas More Pkwy
Ste 101
Edgewood, KY 41017
Phone (859) 301-5600

560 S Loop Rd
Ste 100
Edgewood, KY 41017

600 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-6382

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

413 S Loop Rd
Edgewood, KY 41017
Phone (859) 301-3800

4123 Olympic Blvd
Ste 150
Erlanger, KY 41018
Phone (859) 301-2999

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

8460 US Highway 42
Florence, KY 41042
Phone (859) 282-0911

10095 Investment Way
Florence, KY 41042
Phone (859) 301-9070

7830 Connector Dr
Florence, KY 41042
Phone (859) 525-2994

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

500 Thomas More Pkwy
Ft Mitchell, KY 41017
Phone (859) 341-4525

Interoperability endpoints

  • Direct secure messaging: rpampati575736@direct.hfhs.org
  • Direct secure messaging: rudrapampati@tsus.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1477901080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "2110 TAUBMAN CENTER",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_2": "5582 CVC",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095868",
            "country_code": "US",
            "telephone_number": "734-936-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMPATI",
        "first_name": "RUDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "55778",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "55778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.