Kolala Vasudevamurthy, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036048860 Issued in IL

Practice address

1900 E Main St
VA Illiana HCS
Danville, IL 61832-5100

Phone

(217) 554-5495

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Indiana Heart Associates PC

  • Cardiovascular Disease Physician
  • Indianapolis, IN
  • NPI 1992821631
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790759033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 DAHOMA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373842",
            "telephone_number": "812-340-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "address_2": "VA ILLIANA HCS",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVAMURTHY",
        "first_name": "KOLALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01026022A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036048860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200191580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Alan Vanhuysen, OTR
• Julie Vann, NP
• Tara Vanpelt
• Christine Vartan
• Kinisha Vasser, LCSW
• Charles Arthur Vaught
• Amber Leann Vedder-Reid, OTR
• Allan Vega, APRN, CNP
• Russia Vega, NP
• Tomas Carlos Vegas, M.D.

• Cardiovascular Disease Physician in Danville, IL
• Providers in Danville, IL by specialty
• Cardiovascular Disease Physician in Illinois

• 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.