| Benerji Gudapati, MD | |
|
441 N Wabash, Marion, IN 46952-2612 | |
| (765) 660-6000 | |
| Not Available |
| Full Name | Benerji Gudapati |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 441 N Wabash, Marion, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962459099 | NPI | - | NPPES |
| 200825710 | Medicaid | IN | |
| 000001155405 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01061188A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 01061188A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Knox Community Hospital | Mount vernon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Knox Community Hospital | 1153301833 | 106 |
| Entity Name | Knox Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Benerji Gudapati, MD 330 N Wabash, Ste G20, Marion, IN 46952-2600 Ph: (765) 660-7600 | Benerji Gudapati, MD 441 N Wabash, Marion, IN 46952-2612 Ph: (765) 660-6000 |
Dhiraj Shah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-662-4236 Fax: 765-662-4903 | |
Mrs. Gladys E Black, APRN Hospitalist Medicare: Medicare Enrolled Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-660-6411 Fax: 765-651-7313 | |
Sirajabid Khatib, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-662-4236 Fax: 765-662-4903 | |
Amber Banks, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 441 N Wabash Ave, Marion, IN 46952 Phone: 765-662-4236 Fax: 765-662-4903 |