NPIMap

Individual provider Active NPI

Nageswara R Podapati, M.D.

  • Interventional Cardiology Physician
  • Hazard, KY
National Provider Identifier
1487695250
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
31225 Issued in KY
Practice address
200 Medical Center Dr
Hazard, KY 41701-9466
Phone
(606) 439-4878
NPI assigned
Jun 10, 2006
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31225 KY
Interventional Cardiology Physician 207RI0011X 31225 KY Primary

Addresses

Primary practice location

200 Medical Center Dr
Hazard, KY 41701-9466

Mailing address

74 Hemalata LN
Hazard, KY 41701-9461
Phone (606) 439-4878

Other identifiers 1

IdentifierTypeStateIssuer
64312259MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000190 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2163405473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Vascular Institute PLLCGroup PAC ID 4385906924, 3 clinicians
Jackson Hospital CorporationGroup PAC ID 0345134318, 12 clinicians

Practice addresses (Care Compare)

243 Roy Campbell Dr
Suite B
Hazard, KY 41701-9485
Phone (606) 439-0051

424 Jett Dr
Jackson, KY 41339-9621
Phone (606) 666-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP735KYMDFamily Medicine Physician
31225KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital Corporation CurrentSince Nov 19, 2021 Accepting new patients
Jackson Hospital Corporation CurrentSince Nov 19, 2021 Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients
Pikeville Medical Center Inc PastSince Apr 2, 2018 Accepting new patients
Cardiovascular Institute of the South, LLC Cardiovascular Disease PastSince Apr 16, 2015 Accepting new patients

Locations

424 Jett Dr
Jackson, KY 41339
Phone (606) 666-2960

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

Interoperability endpoints

  • Direct secure messaging: nageswara.podapati.1@1885.direct.athenahealth.com
  • Direct secure messaging: npodapat@yourcarecommunity.org

Organizations & group practices 6

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 6

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1487695250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 HEMALATA LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019461",
            "telephone_number": "606-439-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-439-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODAPATI",
        "first_name": "NAGESWARA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "31225",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "31225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64312259",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.