Individual provider Active NPI

Kuldeep Raj Pandit, M.D.

  • Pulmonary Disease Physician
  • Henderson, KY
National Provider Identifier
1750394516
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
27834 Issued in KY
Practice address
327 N Elm St
Henderson, KY 42420-2929
Phone
(270) 826-1234
Fax
(270) 826-4841
NPI assigned
Aug 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 27834 KY Primary
Pulmonary Disease Physician 207RP1001X 01039387A IN

Addresses

Primary practice location

327 N Elm St
Henderson, KY 42420-2929

Mailing address

327 N Elm St
Henderson, KY 42420-2929
Phone (270) 826-1234

Other identifiers 4

IdentifierTypeStateIssuer
200124930AMedicaidIN
64278344MedicaidKY
K008692OtherKYTRICARE CHAMPUS #
000000049673OtherKYIN AND KY BCBS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041229000381 IN Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8921066598 Reassigns benefits to 2 organizations
I20090805000435 KY Practitioner - Pulmonary Disease 8921066598 Practice locations: Henderson, KY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry County Memorial HospitalGroup PAC ID 6901871276, shared by 10 NPIs, 28 clinicians

Practice addresses (Care Compare)

148 13TH St
Tell City, IN 47586-1937
Phone (812) 547-0333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039387AINMDPulmonary Disease Physician
27834KYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Memorial Hospital Pulmonary Disease CurrentSince Jun 1, 2020 Accepting new patients
Perry County Memorial Hospital Current Accepting new patients
Perry County Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
Perry County Memorial Hospital Past Accepting new patients
Owensboro Medical Practice, PLLC Pulmonary Disease Past Accepting new patients
Perry County Memorial Hospital Pulmonary Disease Past Accepting new patients

Locations

148 13th St
Tell City, IN 47586
Phone (812) 547-0333

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

Interoperability endpoints

  • Direct secure messaging: kpandit209740@direct.deaconess.com
  • Direct secure messaging: kuldeep.pandit.1@21400.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750394516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202929",
            "telephone_number": "270-826-1234",
            "fax_number": "270-826-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202929",
            "telephone_number": "270-826-1234",
            "fax_number": "270-826-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIT",
        "first_name": "KULDEEP",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "27834",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01039387A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124930A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64278344",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS #",
            "identifier": "K008692",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN AND KY BCBS #",
            "identifier": "000000049673",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.