Active NPI
Bharath Kondapavuluri, MD
- Psychiatry Physician
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 326177
- Practice address
- 10-42 Mitchell Ave
Binghamton, NY 13903-1617 - Phone
- (607) 762-2990
- NPI assigned
- Jul 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125076486 | IL | |
| Psychiatry Physician | 2084P0800X | 326177 | NY | Primary |
Addresses
Primary practice location
10-42 Mitchell Ave
Binghamton, NY 13903-1617
Mailing address
33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-2468
1500 Vestal Pkwy E
Suite 102
Vestal, NY 13850-1831
Phone (607) 307-5015
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 86.74
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326177 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Southern Tier Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| United Health Services Hospitals, Inc. | Past | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
33 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2340
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468
3439 Vestal Pkwy E
#2
Vestal, NY 13850
1500 Vestal Pkwy E
Ste 102
Vestal, NY 13850
Phone (607) 307-5015
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Vestal, NY
- NPI 1083466353
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1134151343
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1811505464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "FL 2",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10-42 MITCHELL AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031617",
"telephone_number": "607-762-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDAPAVULURI",
"first_name": "BHARATH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "125076486",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "326177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.