Koppolu P Sarma MD Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

KOPPOLU P SARMA MD INC

Practice address

300 W 61St Ave
Center for Imaging and Radiation
Hobart, IN 46342-6490

Phone

(219) 942-5745

NPI assigned

May 27, 2006

Last updated

Oct 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Koppolu P Sarma, MD

Title

President

Phone

(219) 942-5745

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamala B Modur, MD

  • Radiation Oncology Physician
  • Valparaiso, IN
  • NPI 1689656985
  NPD (past)
• Jeffrey John Quackenbush, MD

  • Radiation Oncology Physician
  • Valparaiso, IN
  • NPI 1639151921
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1942257019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 6076",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "60122",
            "telephone_number": "219-942-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 61ST AVE",
            "address_2": "CENTER FOR IMAGING AND RADIATION",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426490",
            "telephone_number": "219-942-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPPOLU P SARMA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "SARMA",
        "authorized_official_first_name": "KOPPOLU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-942-5745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01027669A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008710A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213740A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Klaich, NP-C
• Madeline Klauer, RN
• Morgan A Kobitka, MSW, LSW
• Theodora Koktsidis, HEALTH ADMINISTRATOR
• Lindsey Marie Kolakoski, PMHNP-BC
• Christina M Korem, FNP-C
• Maureen Kozlow, PA-C
• Mary P Kustron
• Fadee Kutom, MD
• Labcorp Indiana Inc

• Radiation Oncology Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.