Mythili Kanthi Gudipati

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

58819 Issued in KY

Practice address

81 Ball Park Rd
Harlan, KY 40831-1701

Phone

(606) 573-8100

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harlan Arh HHA Home health agency, Harlan, KY, CCN 187025
• Harlan Arh Hospital Hospital, Harlan, KY, CCN 180050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mythiligudipati@arh.medalliesdirect.net

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.

• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment Care Compare group
• Appalachian Regional Healthcare, Inc

  • Rural Health Clinic/Center
  • Harlan, KY
  • NPI 1669506523
  NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare Inc.

  • Home Health Agency
  • Harlan, KY
  • NPI 1720074388
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Harlan, KY
  • NPI 1306842521
  Care Compare affiliation

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1881218535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 WOODLAND HLS",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312565",
            "telephone_number": "989-327-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311701",
            "telephone_number": "606-573-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18880 N US Highway 119",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "KY",
            "postal_code": "408238106",
            "country_code": "US",
            "telephone_number": "606-589-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDIPATI",
        "first_name": "MYTHILI KANTHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "58819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Front Porch Medical, LLC
• Arika Gibbs
• Murphy Green, M.D.
• Marjorie Grieshop
• Courtney Acena Gross, APRN
• Samir Guindi, MD
• Gursharan K Sidhu MD
• Newton Samuel Guy III, DMD
• H & a Counseling, PSC
• H. Fred Howard, DMD, PSC

• Internal Medicine Physician in Harlan, KY
• Providers in Harlan, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.