Individual provider Active NPI

Radhika Donepudi, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1790879823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35071677D Issued in OH
Practice address
140 West Kemper Rd
Physician Associates of Kemper, Inc.
Cincinnati, OH 45246-2530
Phone
(513) 671-2902
Fax
(513) 671-2933
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35071677D OH Primary

Addresses

Primary practice location

140 West Kemper Rd
Physician Associates of Kemper, Inc.
Cincinnati, OH 45246-2530

Mailing address

5770 Kugler Mill Rd
Cincinnati, OH 45236-2040
Phone (513) 671-2902

Other identifiers 5

IdentifierTypeStateIssuer
299576OtherOHAMERIGROUP
3790099OtherOHAETNA
113742012027OtherOHCARE SOURCE
000000357567OtherOHANTHEM
2103048MedicaidOH

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
I20050428000126 OH Practitioner - Family Practice 9436197035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 W Kemper Rd
Cincinnati, OH 45246-2530
Phone (513) 671-2902

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071677DOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Kemper,Inc Family Medicine CurrentSince Apr 4, 2005 Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

140 W Kemper Rd
Cincinnati, OH 45246
Phone (513) 671-0600

Organizations & group practices 3

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 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790879823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 KUGLER MILL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362040",
            "telephone_number": "513-671-2902",
            "fax_number": "513-671-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WEST KEMPER RD",
            "address_2": "PHYSICIAN ASSOCIATES OF KEMPER, INC.",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462530",
            "telephone_number": "513-671-2902",
            "fax_number": "513-671-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEPUDI",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071677D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "299576",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3790099",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "113742012027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000357567",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.