Organization Active NPI

Radhakrishna Kalakuntla, MD, PC

  • Gastroenterology Physician
  • Bensalem, PA
National Provider Identifier
1891024352
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RADHAKRISHNA KALAKUNTLA, MD, PC
Practice address
1950 Street Rd
Suite 320
Bensalem, PA 19020-3755
Phone
(215) 244-1455
NPI assigned
Dec 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Radhakrishna R Kalakuntla, MD
Title
Owner
Phone
(215) 244-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X PA Primary

Addresses

Primary practice location

1950 Street Rd
Suite 320
Bensalem, PA 19020-3755

Mailing address

1950 Street Rd
Suite 320
Bensalem, PA 19020-3755
Phone (215) 244-1455

Other identifiers 1

IdentifierTypeStateIssuer
102399709-0001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1891024352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 STREET RD",
            "address_2": "SUITE 320",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203755",
            "telephone_number": "215-244-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 STREET RD",
            "address_2": "SUITE 320",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203755",
            "telephone_number": "215-244-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHAKRISHNA KALAKUNTLA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-12",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "KALAKUNTLA",
        "authorized_official_first_name": "RADHAKRISHNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-244-1455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102399709-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.