Individual provider Active NPI

Krishna R. Chilukuri, M.D.

  • Family Medicine Physician
  • Newburgh, IN
National Provider Identifier
1841273968
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01036898A Issued in IN
Practice address
4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521
Phone
(812) 858-5050
Fax
(812) 858-3680
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 01036898A IN Primary

Addresses

Primary practice location

4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521

Mailing address

4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521
Phone (812) 858-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101025001097 IN Practitioner - Family Practice 4789779463 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036898AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Deaconess Hospital Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

415 W Columbia St
Ste 100
Evansville, IN 47710
Phone (812) 450-3363

415 W Columbia St
#110
Evansville, IN 47710
Phone (812) 450-3363

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

415 W Columbia St
Ste 110
Evansville, IN 47710
Phone (812) 450-3363

415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200

Interoperability endpoints

  • Direct secure messaging: kchilukuri40527@direct.deaconess.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1841273968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-5050",
            "fax_number": "812-858-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-5050",
            "fax_number": "812-858-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILUKURI",
        "first_name": "KRISHNA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036898A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.