Active NPI
Bhagya Lakshmi Papudesu, M.D.
- Internal Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50072
- Practice address
- 8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303 - Phone
- (502) 333-3121
- Fax
- (502) 333-3131
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 052613 | GA | |
| Internal Medicine Physician | 207R00000X | 50072 | KY | Primary |
Addresses
Primary practice location
8019 Dixie Hwy Ste 101
Louisville, KY 40258-1303
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (502) 333-3121
Other practice location 1
3939 7th Street Rd
Louisville, KY 40216-4103
Phone (502) 883-6800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052613 | Other | GA | PROVIDER MEDICAL LICENSE |
| 111918 | Other | GA | FQHC CMS CERT NUMBER |
| 111825 | Other | GA | FQHC CMS CERT NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Georgia Holding, LLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184
3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180
2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272
2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1922059740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "502-333-3121",
"fax_number": "502-333-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8019 DIXIE HWY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402581303",
"telephone_number": "502-333-3121",
"fax_number": "502-333-3131"
}
],
"practiceLocations": [
{
"address_1": "3939 7th Street Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402164103",
"country_code": "US",
"telephone_number": "502-883-6800",
"fax_number": "502-384-1359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPUDESU",
"first_name": "BHAGYA",
"middle_name": "LAKSHMI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "052613",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "50072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER MEDICAL LICENSE",
"identifier": "052613",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC CMS CERT NUMBER",
"identifier": "111918",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC CMS CERT NUMBER",
"identifier": "111825",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.