NPIMap

Individual provider Active NPI

Udaya Kumar Kakarla, MD

  • Neurological Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1609056647
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
43049 Issued in AZ
Practice address
2910 N 3Rd Ave
Phoenix, AZ 85013
Phone
(602) 406-3580
Fax
(602) 406-3493
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 43049 AZ
Orthopaedic Surgery of the Spine Physician 207XS0117X 43049 AZ
Neurological Surgery Physician 207T00000X 43049 AZ Primary

Addresses

Primary practice location

2910 N 3Rd Ave
Phoenix, AZ 85013

Mailing address

2910 N 3Rd Ave
Phoenix, AZ 85013-4434
Phone (602) 406-3580

Other identifiers 1

IdentifierTypeStateIssuer
523285MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100611000125 AZ Practitioner - Neurosurgery 8426188830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

2910 N 3Rd Ave
Suite 200
Phoenix, AZ 85013-4434
Phone (602) 406-3181

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as individual
Quality
72.32
Promoting interoperability
90
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion647
Laminectomy or laminotomy (partial removal of spine bones)91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43049AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Jul 1, 2010 Accepting new patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Jul 1, 2010 Accepting new patients
Dignity Health Past Accepting new patients

Locations

2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2910 N 3rd Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 406-3181

33300 N 32nd Ave
Ste 310
Phoenix, AZ 85085
Phone (602) 406-3181

Interoperability endpoints

  • Direct secure messaging: kumar.kakarla@764.direct.myezyaccess.com
  • Direct secure messaging: udaya.kakarla.1@31799.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1609056647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3580",
            "fax_number": "602-406-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-406-3580",
            "fax_number": "602-406-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKARLA",
        "first_name": "UDAYA",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "AZ",
            "license": "43049",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "43049",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "43049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523285",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.