Individual provider Active NPI

Kaveripaatum C Nagaprakash, MD

  • Pediatrics Physician
  • Ashtabula, OH
National Provider Identifier
1558462200
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F277236 Issued in OH
Practice address
1527 W 19TH St
Ashtabula, OH 44004-3033
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F277236 OH Primary

Addresses

Primary practice location

1527 W 19TH St
Ashtabula, OH 44004-3033

Mailing address

PO Box 74718
Cleveland, OH 44194-0801
Phone (440) 964-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F277236OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1558462200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74718",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940801",
            "telephone_number": "440-964-8387",
            "fax_number": "440-964-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 W 19TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043033",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAPRAKASH",
        "first_name": "KAVERIPAATUM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "F277236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.