Individual provider Active NPI

Radhika Prasad Kakarla, MD

  • Obstetrics & Gynecology Physician
  • Strafford, PA
National Provider Identifier
1487648069
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD428592 Issued in PA
Practice address
85 Old Eagle School Rd
101
Strafford, PA 19087-2544
Phone
(610) 971-9461
Fax
(610) 688-4490
NPI assigned
Sep 9, 2005
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L1902 TX
Obstetrics & Gynecology Physician 207V00000X MD428592 PA Primary

Addresses

Primary practice location

85 Old Eagle School Rd
101
Strafford, PA 19087-2544

Mailing address

85 Old Eagle School Rd
Strafford, PA 19087-2544
Phone (610) 971-9461

Other identifiers 6

IdentifierTypeStateIssuer
2386281OtherTXAETNA INSURANCE CO
243721OtherTXAMERIGROUP
L1902OtherTXUNICARE
147917201MedicaidTX
A007OtherTXTRICARE
89301XOtherTXBCBS INSURANCE CO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090429000395 PA Practitioner - Obstetrics/Gynecology 3072661172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

85 Old Eagle School Rd
RWHG Main Line OB/GYN
Strafford, PA 19087-2556
Phone (610) 688-3744

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1902TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jun 26, 2018 Accepting new patients
Women's Healthcare Group of Pennsylvania LLC Past Accepting new patients
Women Partners in Health Past Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440

599 Arcola Rd
Ste 106
Collegeville, PA 19426
Phone (610) 454-7787

495 Thomas Jones Way
Ste 210
Exton, PA 19341
Phone (484) 565-8550

4 Industrial Blvd
Ste 110
Paoli, PA 19301
Phone (610) 647-1106

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

Interoperability endpoints

  • Direct secure messaging: radhika.kakarla@axia.eclinicaldirectplus.com

Organizations & group practices 4

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 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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1487648069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 OLD EAGLE SCHOOL RD",
            "city": "STRAFFORD",
            "state": "PA",
            "postal_code": "190872544",
            "telephone_number": "610-971-9461",
            "fax_number": "610-688-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD EAGLE SCHOOL RD",
            "address_2": "101",
            "city": "STRAFFORD",
            "state": "PA",
            "postal_code": "190872544",
            "telephone_number": "610-971-9461",
            "fax_number": "610-688-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKARLA",
        "first_name": "RADHIKA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L1902",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD428592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE CO",
            "identifier": "2386281",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "243721",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "L1902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147917201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE CO",
            "identifier": "89301X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strafford, PA

Sources for this page

Verify at the official NPI Registry.