Organization Active NPI

Chilukuri MDS LLC

  • Family Medicine Physician
  • Newburgh, IN
National Provider Identifier
1992849533
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHILUKURI MDS LLC
Doing business as
NEWBURGH FAMILY PHYSICIANS, L.L.C.
Practice address
4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521
Phone
(812) 858-5050
Fax
(812) 858-3680
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Krishna R. Chilukuri, M.D.
Title
Owner
Phone
(812) 858-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521

Mailing address

4166 Wyntree Dr
Suite a
Newburgh, IN 47630-2521
Phone (812) 858-5050

Other names 1

  • NEWBURGH FAMILY PHYSICIANS, L.L.C. Doing business as

National Provider Directory

National Provider Directory

Locations

4166 Wyntree Dr
Ste A
Newburgh, IN 47630
Phone (812) 858-5050

4166 Wyntree Dr
#A
Newburgh, IN 47630
Phone (812) 858-5050

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1992849533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-5050",
            "fax_number": "812-858-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 WYNTREE DR",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302521",
            "telephone_number": "812-858-5050",
            "fax_number": "812-858-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILUKURI MDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "CHILUKURI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-858-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWBURGH FAMILY PHYSICIANS, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.