Butchaiah Kondragunta, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0101223780 Issued in VA

Practice address

34 Medical Park Blvd Ste G
Suite # G
Petersburg, VA 23805-9283

Phone

(804) 722-3100

Fax

(804) 722-3120

NPI assigned

Feb 14, 2006

Last updated

May 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• S.B.Kondragunta LLC

  • Hematology & Oncology Physician
  • Petersburg, VA
  • NPI 1316020399
  Authorized official Same address or phone

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1871567214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MEDICAL PARK BLVD STE G",
            "address_2": "SUITE # G",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059283",
            "telephone_number": "804-722-3100",
            "fax_number": "804-722-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MEDICAL PARK BLVD STE G",
            "address_2": "SUITE # G",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059283",
            "telephone_number": "804-722-3100",
            "fax_number": "804-722-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDRAGUNTA",
        "first_name": "BUTCHAIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101223780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005847141",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEMATOLOGY/ONCOLOGY",
            "identifier": "1316020399",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "26641",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005839777",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "541989200",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "258076",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "337600",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7608086",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Thomas Kirchhoff, M.D.
• Bonnie Knotts
• Ramesh B. Koduri, M.D.
• Sudha Koduru, M.D.
• Michael Tobeh Kometa, M.D.
• Sakuntla Kondragunta, M.D.
• Charles Konigsberg Jr., MD
• Tuula H Koraska, L.C.S.W.
• Hannah Kathryn Kraus, FNP-BC
• Krishna Rao Kudaravalli, M.D

• Hematology & Oncology Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Hematology & Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.