Active NPI
Madhu Kandarpa, MD
- Nephrology Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 094294
- Practice address
- 1362 E Stroop Rd
Kettering, OH 45429-4926 - Phone
- (937) 643-0015
- Fax
- (937) 643-0016
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 094294 | OH | Primary |
Addresses
Primary practice location
1362 E Stroop Rd
Kettering, OH 45429-4926
Mailing address
1362 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 643-0015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3015749 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000029 | OH | Practitioner - Nephrology | 0345322533 | Reassigns benefits to 2 organizations |
| I20240118004356 | KY | Practitioner - Nephrology | 0345322533 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1362 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 643-0015
184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213
911 Bypass Rd
Pikeville, KY 41501-1689
Hospital & facility affiliations
- DaVita Pike Place Dialysis
- DaVita Huber Heights Dialysis
- DaVita Wright Field Dialysis
- DaVita Eaton Dialysis
- Fresenius Medical Care Dayton Regional Dialysis North
- Kettering Health Main Campus
- Soin Medical Center
- Pikeville Medical Center
- Kettering Health Greene Memorial
- Kettering Health Dayton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094294 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Kidney Care Specialists, LLC | Nephrology | Current | Accepting new patients |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Robert T Morrison MD LLC | Nephrology | Past | Accepting new patients |
| Morrison and Ahmad, MD'S, Inc. | Nephrology | Past | Accepting new patients |
Locations
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
3070 Presidential Dr
Beavercreek, OH 45324
Phone (937) 426-6475
1911 N Fairfield Rd
Ste 110
Beavercreek, OH 45432
Phone (937) 376-2571
5999 Bender Rd
Cincinnati, OH 45233
Phone (513) 922-1440
1431 Business Center Ct
Dayton, OH 45410
Phone (937) 208-9050
4750 N Main St
Dayton, OH 45405
Phone (937) 208-7900
455 Turner Rd
Dayton, OH 45415
Phone (937) 294-6711
5721 Bigger Rd
Dayton, OH 45440
Phone (937) 435-4030
105 E Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-1174
1266 N Broad St
Fairborn, OH 45324
Phone (937) 328-8933
7769 Old Country Ct
Huber Heights, OH 45424
Phone (937) 237-0769
1362 E Stroop Rd
Kettering, OH 45429
Phone (937) 376-2571
3050 S Dixie Dr
Kettering, OH 45409
Phone (937) 643-2337
290 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 865-0633
1500 Sherman Ave
Norwood, OH 45212
Phone (513) 403-8465
7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200
1675 Alex Dr
Wilmington, OH 45177
Phone (937) 283-8980
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
215 S Allison Ave
Xenia, OH 45385
Phone (937) 352-6490
Interoperability endpoints
- madhu.kandarpa@direct.davitaphysiciansolutions.com
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kettering, OH
- NPI 1902558471
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Huber Heights, OH
- NPI 1093119026
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eaton, OH
- NPI 1437276979
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dayton, OH
- NPI 1467804294
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1891999413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1362 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294926",
"telephone_number": "937-643-0015",
"fax_number": "937-643-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1362 E STROOP RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454294926",
"telephone_number": "937-643-0015",
"fax_number": "937-643-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDARPA",
"first_name": "MADHU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "094294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3015749",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.