Individual provider Active NPI

Kamala S Digavalli, M.D.

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1912092123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06790100 Issued in NJ
Practice address
500 E Walnut St
Department of Veterans Affairs-Outpatient Clinic
Evansville, IN 47713-2438
Phone
(812) 465-6271
Fax
(812) 465-6286
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06790100 NJ Primary

Addresses

Primary practice location

500 E Walnut St
Department of Veterans Affairs-Outpatient Clinic
Evansville, IN 47713-2438

Mailing address

4052 Shady Hollow Dr
Henderson, KY 42420-9270
Phone (812) 465-6271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20151103002609 IN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8426239211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Group at Safe Harbor, LLC PastSince Oct 1, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912092123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 SHADY HOLLOW DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209270",
            "telephone_number": "812-465-6271",
            "fax_number": "812-465-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WALNUT ST",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS-OUTPATIENT CLINIC",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132438",
            "telephone_number": "812-465-6271",
            "fax_number": "812-465-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGAVALLI",
        "first_name": "KAMALA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06790100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.