Active NPI
Raju V Indukuri, M.D
- Psychiatry Physician
- Nashville, TN
National Provider Identifier
1831207323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD28138
- Practice address
- 2900 Felecia St
Suit 103
Nashville, TN 37209-4023 - Phone
- (615) 649-0676
- Fax
- (615) 649-0671
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD28138 | TN | Primary |
Addresses
Primary practice location
2900 Felecia St
Suit 103
Nashville, TN 37209-4023
Mailing address
2900 Felecia St
Suit 103
Nashville, TN 37209-4023
Phone (615) 649-0676
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3080683 | Other | BCBS | |
| 3819924 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110429000310 | TN | Practitioner - Psychiatry | 4587849914 | Practice locations: Brentwood, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Meharry Medical College School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5102 Cornell CT
Brentwood, TN 37027-3022
Phone (615) 649-0676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- direct@rajuindukurimdnashvilletn.compulinkdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1831207323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 FELECIA ST",
"address_2": "SUIT 103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094023",
"telephone_number": "615-649-0676",
"fax_number": "615-649-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FELECIA ST",
"address_2": "SUIT 103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094023",
"telephone_number": "615-649-0676",
"fax_number": "615-649-0671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDUKURI",
"first_name": "RAJU",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD28138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3080683",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3819924",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.