Shivaprakash T Kudlapur, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35065974K Issued in OH

Practice address

30381 Chieftain Dr
Logan, OH 43138-9092

Phone

(740) 385-2555

Fax

(740) 380-3750

NPI assigned

Sep 12, 2005

Last updated

Nov 6, 2019By 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 names 1

• Prakash T Kudlapur Professional name

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopewell Health Centers, Inc.Group PAC ID 9234049990, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Vna Home health agency, Lancaster, OH, CCN 367137
• Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330
• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopewell Health Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, OH
  • NPI 1699010348
  Medicare reassignment Care Compare group NPD
• Hopewell Health Centers Inc

  • Primary Care Clinic/Center
  • Chillicothe, OH
  • NPI 1659468908
  NPD
• Hocking Valley Medical Group Transportation

  • Non-emergency Medical Transport (VAN)
  • Logan, OH
  • NPI 1417555087
  NPD (past)

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

• Caretenders VS of Ohio, LLC

  dba Caretenders VNA

  • Home Health Agency
  • Lancaster, OH
  • NPI 1740434067
  Care Compare affiliation
• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation
• Hocking Valley Community Hospital

  • Critical Access Hospital
  • Logan, OH
  • NPI 1295840007
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1891780326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-775-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30381 CHIEFTAIN DR",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389092",
            "telephone_number": "740-385-2555",
            "fax_number": "740-380-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDLAPUR",
        "first_name": "SHIVAPRAKASH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065974K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAKASH",
            "last_name": "KUDLAPUR",
            "middle_name": "T",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beth Kluding, QMHS
• David Knight
• Brett Knott Jr., LICDC-CS, LPC
• Lucinda Kraft
• Rose M Krouse, LISW
• Taylor A Kusic, LISW
• Amy Laird
• Lancaster Surgical Associates, Inc.
• Kathleen Land
• Lana Lanning

• Internal Medicine Physician in Logan, OH
• Providers in Logan, 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 Nov 6, 2019; 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.