Nandakishore Dukkipati, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-4520 Issued in AR

Practice address

1100 Medical Dr
Blytheville, AR 72315-1425

Phone

(870) 762-6725

NPI assigned

Jun 25, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ameris of Arkansas, LLC

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1710042429
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710913082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S ESTATE DR",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723158005",
            "telephone_number": "870-776-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MEDICAL DR",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151425",
            "telephone_number": "870-762-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKKIPATI",
        "first_name": "NANDAKISHORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-4520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N466",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dixie Health Care, Inc
• Sharie L Donnerson, MHPP
• Dr. Michael Williams D.D.S.
• Justino Mario C Dublois, Jr.
• Sherry Lee Duffel, BSPSY
• Tracy Dianne Duncan, D.P.M.
• Dunne Medical LTD
• James David Dye, MD
• Sylvia Dyer, MHPP
• Alexandria Lee Sides Easley

• Surgery Physician in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.