Active NPI
Hitnebagilu L Krupadev, M.D. LLC
- Internal Medicine Physician
- Marietta, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3504259
- Practice address
- 408 Third Street
Marietta, OH 45750 - Phone
- (740) 373-5119
- Fax
- (740) 373-7090
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35042059K | OH | |
| Internal Medicine Physician | 207R00000X | 3504259 | OH | Primary |
Addresses
Primary practice location
408 Third Street
Marietta, OH 45750
Mailing address
408 Third Street
Marietta, OH 45750
Phone (740) 373-5119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0445923 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
408 3Rd St
Marietta, OH 45750-2101
Phone (740) 373-5119
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35042059K | OH | MD | Internal Medicine Physician |
| 3504259 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HL Krupadev MD LLC | Internal Medicine | Current | Accepting new patients |
Locations
408 3rd St
Marietta, OH 45750
Phone (614) 373-5119
Interoperability endpoints
- h.krupadev@mmhs.medicity.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Marietta, OH
- NPI 1215054200
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marietta Home Health and Hospice, an Amedisys Partner
- Home Health Agency
- Marietta, OH
- NPI 1265600571
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
-
- Critical Access Hospital
- Marietta, OH
- NPI 1124073465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1710900790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 THIRD STREET",
"city": "MARIETTA",
"state": "OH",
"postal_code": "45750",
"telephone_number": "740-373-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 THIRD STREET",
"city": "MARIETTA",
"state": "OH",
"postal_code": "45750",
"telephone_number": "740-373-5119",
"fax_number": "740-373-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPADEV",
"first_name": "HITNEBAGILU",
"middle_name": "L",
"credential": "M.D. LLC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35042059K",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "3504259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445923",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.