Prabhakara Reddy Tukivakala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R4048 Issued in AR

Practice address

810 Newman Dr # a
Helena, AR 72342-8950

Phone

(870) 338-7441

Fax

(870) 338-7945

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prabhakara_reddy_tukivakala_-md@yourcarecommunity.org

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.

• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305
  Medicare reassignment NPD
• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Marianna, AR
  • NPI 1669480836
  Medicare reassignment NPD
• Lee County Cooperative Clinic

  dba Lakeview Satellite Clinic

  • Federally Qualified Health Center (FQHC)
  • Wabash, AR
  • NPI 1356359442
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1659474161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723420806",
            "telephone_number": "870-338-7441",
            "fax_number": "870-338-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NEWMAN DR # A",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428950",
            "telephone_number": "870-338-7441",
            "fax_number": "870-338-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUKIVAKALA",
        "first_name": "PRABHAKARA",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "R4048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117462001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chyanne Thomas
• Michael Thomas, MHPP
• Michelle L. Pixley Tippitt, CPNP
• Todd C Stewart DDS PA
• Todd C Stewart DDS PA
• Carolyn Bryant Turner, RD, LD
• Tammy R. Turner, MCD, CCC-SLP
• Twin City Drugs Inc (Hickory Hill Pharmacy)
• University of Arkansas for Medical Sciences
• University of Arkansas for Medical Sciences

• Internal Medicine Physician in Helena, AR
• Providers in Helena, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.

Verify at the official NPI Registry.