Karthik Kannegolla, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01076648A Issued in IN

Practice address

550 S Landmark Ave
Bloomington, IN 47403

Phone

(812) 676-4660

Fax

(812) 355-2751

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kkannegolla1@direct.iuhealth.org

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1477994366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033239",
            "telephone_number": "812-676-4660",
            "fax_number": "812-355-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-676-4660",
            "fax_number": "812-355-2751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 W Walnut St",
            "address_2": "Research II 202 (R2 202)",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-278-6061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S Liberty Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474035167",
            "country_code": "US",
            "telephone_number": "812-676-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032317",
            "country_code": "US",
            "telephone_number": "812-676-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNEGOLLA",
        "first_name": "KARTHIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301102865",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01076648A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KKANNEGOLLA1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "601 W 2nd St",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474032317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Kalmes, MBA, ATC, CES
• Kathy Kalotta, NP-C
• CHI-Wei Kan, LMHC
• Emad Kandah, MD
• Michael William Kane, MD
• Thomas Henry Kapczynski, D.D.S.
• Shelby Kapellusch, RBT
• Kara Baertsch Counseling, LLC
• Laura A. Karcher, M.A., CCC-SLP
• John Kardynalczyk, D.C.

• Nephrology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.