Active NPI
Raju Kakarlapudi, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1639758154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 345167
- Practice address
- 109 W 27TH
Suite 5S
New York, NY 10001-6208 - Phone
- (917) 634-5311
- NPI assigned
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 050669 | OK | |
| Psychiatry Physician | 2084P0800X | DR.0074728 | CO | |
| Psychiatry Physician | 2084P0800X | 345167 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 37415 | MS |
Addresses
Primary practice location
109 W 27TH
Suite 5S
New York, NY 10001-6208
Mailing address
109 W 27TH
Suite 5S
New York, NY 10001-6208
Other practice location 1
201 Robert S Kerr Ave
Suite 700 (Private Office 712)
Oklahoma City, OK 73102
Phone (917) 634-5311
Other practice location 2
10 Canebrake Blvd
Suite 110
Flowood, MS 39232
Phone (917) 634-5311
Other practice location 3
2373 Central Park Blvd
Suite 100
Denver, CO 80238
Phone (917) 634-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-11709 | KS | MD | Child & Adolescent Psychiatry Physician |
| 2024035860 | MO | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1639758154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH",
"address_2": "SUITE 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH",
"address_2": "SUITE 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311"
}
],
"practiceLocations": [
{
"address_1": "201 Robert S Kerr Ave",
"address_2": "Suite 700 (Private Office 712)",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "73102",
"country_code": "US",
"telephone_number": "917-634-5311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Canebrake Blvd",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "39232",
"country_code": "US",
"telephone_number": "917-634-5311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2373 Central Park Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80238",
"country_code": "US",
"telephone_number": "917-634-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAKARLAPUDI",
"first_name": "RAJU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-02",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "050669",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0074728",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "345167",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "37415",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.