Individual provider Active NPI

Hitnebagilu L Krupadev, M.D. LLC

  • Internal Medicine Physician
  • Marietta, OH
National Provider Identifier
1710900790
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3504259 Issued in OH
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

Updated by the provider on May 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0445923MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000357 OH Practitioner - Internal Medicine 4385654169 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
35042059KOHMDInternal Medicine Physician
3504259OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HL Krupadev MD LLC Internal Medicine CurrentSince Feb 8, 2006 Accepting new patients

Locations

408 3rd St
Marietta, OH 45750
Phone (614) 373-5119

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.