NPIMap

Individual provider Active NPI

Satheesh Kumar Bokka

  • Student in an Organized Health Care Education/Training Program
  • Louisville, KY
National Provider Identifier
1700317203
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
University of Louisville
Louisville, KY 40292-0001
Phone
(502) 852-5536
NPI assigned
Mar 26, 2017
Last updated
Mar 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

University of Louisville
Louisville, KY 40292-0001

Mailing address

University of Louisville
Louisville, KY 40292-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210507000280 WV Practitioner - Neurology 4183971807 Reassigns benefits to 1 organization
I20241212001494 NC Practitioner - Neurology 4183971807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

101 E W T Harris Blvd
Suite 5202
Charlotte, NC 28262-3443
Phone (704) 863-8700

202 E Grover St
Shelby, NC 28150-3977
Phone (980) 487-2360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince May 3, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 6, 2025 Accepting new patients
West Virginia University Medical Corporation Current Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 6, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Wvu Med Corp Cheat Lake Physicians CurrentSince May 3, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 6, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Medical Center CurrentSince Jan 6, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 6, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Carolinas Medical Center-Northeast Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 5202
Charlotte, NC 28262
Phone (704) 372-5180

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

1423 E Franklin St
Ste I
Monroe, NC 28112
Phone (704) 288-4650

202 E Grover St
Shelby, NC 28150
Phone (704) 482-7311

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

3803 Emerson Ave
Parkersburg, WV 26104
Phone (304) 485-5041

Interoperability endpoints

  • Direct secure messaging: sbokka2956503@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1700317203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF LOUISVILLE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402920001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF LOUISVILLE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402920001",
            "telephone_number": "502-852-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKKA",
        "first_name": "SATHEESH KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.