| Shivaprakash T Kudlapur, MD | |
|
30381 Chieftain Dr, Logan, OH 43138-9092 | |
| (740) 385-2555 | |
| (740) 380-3750 |
| Full Name | Shivaprakash T Kudlapur |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 30381 Chieftain Dr, Logan, Ohio |
| 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 |
|---|---|---|---|
| 1891780326 | NPI | - | NPPES |
| 0965728 | Medicaid | OH | |
| 311155352 | Other | E V BENEFITS | |
| 311155352 | Other | OH | OHIO HEALTH CHOICE |
| 311155352 | Other | AETNA | |
| P00084899 | Other | RAILROAD MEDICARE | |
| 0408409 | Other | UNITED HEALTHCARE | |
| 311155352 | Other | CIGNA/CONN GENERAL | |
| 311155352 | Other | PPO NEXT | |
| 311155352 | Other | TRICARE | |
| 311155352 | Other | CENTRAL BENEFITS | |
| 000000300069 | Other | OH | ANTHEM |
| 311155352 | Other | EMERALD HEALTH | |
| 311155352 | Other | GREAT WEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35065974K (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caretenders Vna | Lancaster, OH | Home health agency |
| Hocking Valley Community Hospital | Logan, OH | Hospital |
| Fairfield Medical Center | Lancaster, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hopewell Health Centers, Inc. | 9234049990 | 49 |
| Entity Name | Hospital Medicine Services Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073781597 PECOS PAC ID: 6103997747 Enrollment ID: O20080625000293 |
| Entity Name | Hopewell Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivaprakash T Kudlapur, MD Po Box 188, Chillicothe, OH 45601-0188 Ph: (740) 773-4366 | Shivaprakash T Kudlapur, MD 30381 Chieftain Dr, Logan, OH 43138-9092 Ph: (740) 385-2555 |
Jose R Villavicencio, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 St Rt 664, Logan, OH 43138 Phone: 740-380-8000 | |
Dr. Darren J Sommer, D.O Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Mistafa A. Hafid, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Dr. Enovwo Eloho Ohwofahworaye, PHARMD, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 |