Lata Koneru, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35073328 Issued in OH

Practice address

4218 Penrith CT
Dublin, OH 43016-8276

Phone

(614) 566-5000

Fax

(888) 760-4007

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment NPD
• First Step Recovery Center

  • Addiction Medicine (Family Medicine) Physician
  • Reynoldsburg, OH
  • NPI 1467826453
  Medicare reassignment NPD
• Southwestern Recovery Center, LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1295241933

  Internal Medicine

  Medicare reassignment NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD
• First Step Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Reynoldsburg, OH
  • NPI 1477004810
  NPD
• Southwestern Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grove City, OH
  • NPI 1427642966
  NPD
• Brian S. Gregori, DO Inc

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1396891099
  NPD (past)
• Cornerstone Project, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1639609548
  NPD (past)
• Davidson Road Primary Care, Inc

  • Clinic/Center
  • Hilliard, OH
  • NPI 1912013483
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1881654945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 PENRITH CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168276",
            "telephone_number": "614-659-0500",
            "fax_number": "888-760-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 PENRITH CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168276",
            "telephone_number": "614-566-5000",
            "fax_number": "888-760-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONERU",
        "first_name": "LATA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "SP00321",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2093265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen P Kollar, DO
• Brian Kollmorgen
• Tricia Ann Kolwicz, P.T.
• Leigh Ann Komlosi, LISW
• Manojkumar Kommu
• Jasmine Konneker
• Amanda Kontak
• Nicole Kornder, M.D.
• Andrew Koroma
• Michael Kortbus, MD

• Internal Medicine Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.