BENERJI GUDAPATI (NPI# 1962459099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962459099 |
| Entity Type | Individual |
| Full Name | BENERJI GUDAPATI |
| Credential | MD |
| Practice Address |
441 N Wabash Marion IN 46952-2612 |
| Mailing Address |
330 N Wabash Ste G20 Marion IN 46952-2600 |
| Practice Telephone | 7656606000 |
| Mailing Telephone | 7656607600 |
| Mailing Fax Number | 7656517313 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01061188A | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 01061188A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000001155405 | 01 |
| IN | 200825710 | 05 |
| Street Address |
441 N WABASH |
| City | MARION |
| State | IN |
| Zip Code | 46952-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946320 | Maria A Cuda | Family Medicine | 441 N Wabash, Marion, IN 46952-2612 | 2005-07-20 |
| 1356992077 | Andrea Lynn Detamore | Nurse Practitioner | 441 N Wabash, Marion, IN 46952-2612 | 2019-09-24 |
| 1336608066 | Lindsey Leeana Cook | Nurse Practitioner | 441 N Wabash, Marion, IN 46952-2612 | 2019-03-12 |
| 1467772624 | Daphne Kyomuhendo Muzoora | Internal Medicine | 441 N Wabash, Marion, IN 46952-2612 | 2010-06-09 |
| 1437394418 | Raghavender Gotur | Internal Medicine | 441 N Wabash, Marion, IN 46952-2612 | 2008-12-04 |
| 1376730903 | Anthony Paul Collins | Emergency Medicine | 441 N Wabash, Marion, IN 46952-2612 | 2007-09-27 |
| 1427153170 | Venkata K Kancherla | Internal Medicine | 441 N Wabash, Marion, IN 46952-2612 | 2006-09-14 |
| 1386660256 | Stephen Jasinski | Emergency Medicine | 441 N Wabash, Marion, IN 46952-2600 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972152114 | Amber Banks | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-09-10 |
| 1558921791 | Triven Health | Hospitalist | 1000 Mckinley Park Dr, Marion, OH 43302-6399 | 2019-06-19 |
| 1992265904 | Mary Jacqueline Wharton | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-03-25 |
| 1629552203 | Meritra Physicians LLC | Hospitalist | 1000 Mckinley Park Dr, Marion, OH 43302-6397 | 2018-09-20 |
| 1700314770 | Hospital Care Consultants of Marion, LLC | Hospitalist | 3333 W Deyoung St, Marion, IL 62959-5884 | 2017-06-02 |
| 1184018376 | Illinois Hospitalist Partners, LLC | Hospitalist | 3333 W Deyoung St, Marion, IL 62959-5884 | 2015-03-25 |
| 1669634473 | Kanwar Deep Singh | Hospitalist | 1000 Mckinley Park Dr, Marion General Hospital, Marion, OH 43302-6399 | 2008-07-02 |
| 1568620862 | A. Reignier Magsombol Nohay | Hospitalist | 1000 Mckinley Park Dr, Suite Mri, Marion, OH 43302-6399 | 2008-05-23 |
| 1205011715 | Gladys E Black | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2008-01-02 |
| 1356520449 | Marion Hospitalists Services, LLC | Hospitalist | 1040 Delaware Ave, Marion, OH 43302-6416 | 2007-10-25 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.