Active NPI
Karuna Chilukuri, M.D.
- Cardiovascular Disease Physician
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 61164-20
- Practice address
- 1000 Mineral Point Ave
Janesville, WI 53548-2940 - Phone
- (608) 756-6868
- Fax
- (608) 756-6289
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0066612 | MD | |
| Internal Medicine Physician | 207R00000X | 4301084654 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 61164-20 | WI | Primary |
Addresses
Primary practice location
1000 Mineral Point Ave
Janesville, WI 53548-2940
Mailing address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6868
Other names 1
- Karuna Bobba
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
2000 Lake Ave
Woodstock, IL 60098-7401
Phone (815) 337-7100
Hospital & facility affiliations
- Mercy Health System Corp
- Mercy Harvard Hospital
- Mercy Walworth Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0066612 | MD | MD | Internal Medicine Physician |
| 4301084654 | MI | MD | Internal Medicine Physician |
| 61164-20 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1001 Grant St
Harvard, IL 60033
Phone (815) 943-8090
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- kchilukuri26191@direct.mhemail.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 and National Provider Directory roles.
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Prosthetic/Orthotic Supplier
- Lake Geneva, WI
- NPI 1710124698
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1497941629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482940",
"telephone_number": "608-756-6868",
"fax_number": "608-756-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MINERAL POINT AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482940",
"telephone_number": "608-756-6868",
"fax_number": "608-756-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILUKURI",
"first_name": "KARUNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0066612",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301084654",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "61164-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARUNA",
"last_name": "BOBBA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.