Individual provider Active NPI

Krishna Mohan Namburi, M.D.

  • Cardiovascular Disease Physician
  • Terre Haute, IN
National Provider Identifier
1942319934
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01038133A Issued in IN
Practice address
1429 N 6TH St
Terre Haute, IN 47807-1037
Phone
(812) 242-3175
Fax
(812) 242-3543
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01038133A IN Primary
Cardiovascular Disease Physician 207RC0000X 36077615 IL

Addresses

Primary practice location

1429 N 6TH St
Terre Haute, IN 47807-1037

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3175

Other identifiers 14

IdentifierTypeStateIssuer
100376520ZMedicaidIN
P00398470OtherRAILROAD MEDICARE
P00844276OtherINRAILROAD MEDICARE
100376520GOtherINMOLINA HEALTHCARE MCAID
100376520MedicaidIN
351904269237OtherCARESOURCE MEDICAID
060023841OtherRAILROAD MCARE PALAMETTO
100376520YMedicaidIN
000000089624OtherANTHEM
060068542OtherINRAILROAD MEDICARE
100376520AOtherINMOLINA HEALTHCARE MCAID
351904269124OtherCARESOURCE MEDICAID
4589941OtherAETNA
P01056435OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040406001126 IN Practitioner - Cardiovascular Disease (Cardiology) 6608869565 Reassigns benefits to 2 organizations
I20040621001500 IL Practitioner - Cardiovascular Disease (Cardiology) 6608869565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

1606 N 7TH St
Terre Haute, IN 47804-2706

1606 No 7TH St
Union Hospital Inc
Terre Haute, IN 47804-2706
Phone (812) 238-7000

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

221 S 6TH St
Terre Haute, IN 47807-4214

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Pacemaker insertion or repair20
Leg revascularization (restoring blood flow)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36077615ILMDCardiovascular Disease Physician
01038133AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Jan 1, 2010 Accepting new patients
Union Hospital, Inc. Cardiovascular Disease CurrentSince Jan 1, 2001 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Hospital, Inc. CurrentSince Jan 1, 2001 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jan 1, 2010 Accepting new patients
Associated Physicians & Surgeons Clinic, LLC PastSince Sep 12, 2005 Accepting new patients

Locations

408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361

410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

1214 E National Ave
Ste 110
Brazil, IN 47834
Phone (812) 232-3900

777 S Main St
Ste 200
Clinton, IN 47842
Phone (765) 828-0750

801 S Main St
Ste 200
Clinton, IN 47842

700 S Main St
Clinton, IN 47842
Phone (765) 820-5050

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

4601 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3281

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

Interoperability endpoints

  • Direct secure messaging: knamburi@unionhealth.cernerdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1942319934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3175",
            "fax_number": "812-242-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071037",
            "telephone_number": "812-242-3175",
            "fax_number": "812-242-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBURI",
        "first_name": "KRISHNA",
        "middle_name": "MOHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01038133A",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36077615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376520Z",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00398470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00844276",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE MCAID",
            "identifier": "100376520G",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376520",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID",
            "identifier": "351904269237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "060023841",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100376520Y",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060068542",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE MCAID",
            "identifier": "100376520A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID",
            "identifier": "351904269124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4589941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01056435",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.