Active NPI
Radha Andukuri, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 24304
- Practice address
- 7831 Chicago CT
Omaha, NE 68114-3654 - Phone
- (402) 561-2740
- Fax
- (402) 561-2738
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- Omaha, NE
- NPI 1720606932
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1124118385
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1790874790
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1831286673
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1346254620
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
Hospital
-
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physicians Clinic Inc
Practice addresses (Care Compare)
7831 Chicago CT
Omaha, NE 68114-3654
Phone (402) 561-2740
933 E Pierce St
Methodist Jennie Edmundson
Council Bluffs, IA 51503-4626
Phone (712) 396-6000
Hospital & facility affiliations
- The Nebraska Methodist Hospital
- Myrtue Medical Center
- Methodist Jennie Edmundson
- Methodist Fremont Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071204000599 | NE | Practitioner - Endocrinology | 1850480401 | Reassigns benefits to 1 organization |
| I20120816000577 | IA | Practitioner - Hospitalist | 1850480401 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD39269 | IA | MD | Internal Medicine Physician |
| 24304 | NE | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Diabetes Supply Center of the Midlands LLC | Past | Accepting new patients |
Locations
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
301 N 27th St
Ste 2
Norfolk, NE 68701
Phone (402) 644-7654
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
7831 Chicago Ct
Omaha, NE 68114
Phone (402) 354-1230
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
Interoperability endpoints
- randukuri170966@uihcdirect.org
- radha.andukuri@direct.nmhs.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24304 | NE | |
| Internal Medicine Physician | 207R00000X | MD39269 | IA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 24304 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7831 Chicago CT
Omaha, NE 68114-3654
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992921779 | Medicaid | IA | |
| 10025277100 | Medicaid | NE | |
| 10026480118 | Medicaid | NE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2019.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1992921779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7831 CHICAGO CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143654",
"telephone_number": "402-561-2740",
"fax_number": "402-561-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDUKURI",
"first_name": "RADHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "24304",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "MD39269",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NE",
"license": "24304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992921779",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025277100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026480118",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.