Active NPI
Krishna Mohan Namburi, M.D.
- Cardiovascular Disease Physician
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01038133A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100376520Z | Medicaid | IN | |
| P00398470 | Other | RAILROAD MEDICARE | |
| P00844276 | Other | IN | RAILROAD MEDICARE |
| 100376520G | Other | IN | MOLINA HEALTHCARE MCAID |
| 100376520 | Medicaid | IN | |
| 351904269237 | Other | CARESOURCE MEDICAID | |
| 060023841 | Other | RAILROAD MCARE PALAMETTO | |
| 100376520Y | Medicaid | IN | |
| 000000089624 | Other | ANTHEM | |
| 060068542 | Other | IN | RAILROAD MEDICARE |
| 100376520A | Other | IN | MOLINA HEALTHCARE MCAID |
| 351904269124 | Other | CARESOURCE MEDICAID | |
| 4589941 | Other | AETNA | |
| P01056435 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Union Hospital Inc
- Union Hospital Clinton
- Paris Community Hospital
- Crawford Memorial Hospital
- Greene County General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 23 |
| Pacemaker insertion or repair | 20 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36077615 | IL | MD | Cardiovascular Disease Physician |
| 01038133A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Associated Physicians Clinic LLC | Current | Accepting new patients | |
| Union Hospital, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Union Hospital, Inc. | Current | Accepting new patients | |
| Union Associated Physicians Clinic, LLC | Current | Accepting new patients | |
| Associated Physicians & Surgeons Clinic, LLC | Past | 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
- 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.
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1013965573
Cardiovascular Disease
-
- Dermatology Physician
- Terre Haute, IN
- NPI 1407404940
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
dba Union Hospital Clinton
- Medicare Defined Swing Bed Hospital Unit
- Clinton, IN
- NPI 1487652319
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1962586198
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.