Dr. Radhika Medipalli
Internal Medicine (Nephrology)

Address: 13901 Mcauley Blvd Ste 303, Oklahoma City, OK 73134-8704
Phone: 4057485800

Dr. Radhika Medipalli (NPI# 1265510101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265510101
Entity Type Individual
Full Name Dr. Radhika Medipalli
Credential M.D.
Gender Female
Practice Address 13901 Mcauley Blvd Ste 303
Oklahoma City
OK 73134-8704
Practice Telephone 4057485800
Practice Fax Number 4057485806
Mailing Address 13901 Mcauley Blvd
100
Oklahoma City
OK 73134-8700
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-01
Last Update Date 2018-09-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RN0300X Internal Medicine · Nephrology Allopathic & Osteopathic Physicians 45912 WI

Other Provider Identifier

State Identifier Issuer Type Code
OK 200210620A MEDICAID

Physician Overview

NPI 1265510101
PAC ID by PECOS 1850467184
Professional Enrollment ID I20080910000140
Full Name Radhika Medipalli
Organization Legal Name LORRAINE T WILSON MD PC
Phone Number 4053418150
Gender F
Graduation Year 2000
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 0648370775
Number of Group Practice Members 4
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370215 OKLAHOMA HEART HOSPITAL, LLC
370011 MERCY HOSPITAL EL RENO
370047 MERCY HOSPITAL ARDMORE, INC
370149 ST ANTHONY SHAWNEE HOSPITAL

Office Location

Street Address 13901 MCAULEY BLVD STE 303
City OKLAHOMA CITY
State OK
Zip Code 73134-8704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417216037 Ramon Noriega Internal Medicine 13901 Mcauley Blvd Ste 303, Oklahoma City, OK 73134 2012-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538683248 Amber N Rettke Case Manager/Care Coordinator 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 2017-08-03
1285092437 Christina Almstrom Whelan Psychologist 14616 Fossil Creek Lane, Oklahoma City, OK 73134 2016-02-03
1881003614 Amber D. Given Counselor 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 2014-08-06
1114365483 Chester Arthur Woods IIi Student in an Organized Health Care Education/Training Program 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 2013-06-10
1700123916 Laura Jane Holsey Surgery 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 2013-01-08
1023354842 Amattco LLC Clinic/Center 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 2012-12-26
1740531698 Oklahoma Sports and Orthopedics Institute Pllc Orthopaedic Surgery 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 2012-10-01
1326348434 Epworth At Home LLC Home Health 14901 N. Pennsylvania Ave, Oklahoma City, OK 73134 2010-10-25
1295054328 Epworth At Home LLC Hospice Care, Community Based 14901 N Pennyslvania Avenue, Oklahoma City, OK 73134 2010-05-28
1609016641 Mary Alleen Henslee Social Worker 14001 Mcauley Blvd Ste 200, Oklahoma City, OK 73134 2009-03-04
Find all providers in zip 73134

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710416573 Universal Kidney Care of Oklahoma Pllc Internal Medicine 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 2017-06-06
1730515362 Fazal Akbar Ali Md PC Internal Medicine 4221 S Western Ave Ste 5020, Oklahoma City, OK 73109-3445 2013-09-14
1417216037 Ramon Noriega Internal Medicine 13901 Mcauley Blvd Ste 303, Oklahoma City, OK 73134 2012-05-16
1609030345 Ahmad Bilal Internal Medicine 3366 Nw Expressway #730, Bldg D, Oklahoma City, OK 73112 2008-07-11
1134272933 Rajesh Kumar Internal Medicine 810 Nw 10th St, Suite A, Oklahoma City, OK 73106-7215 2007-01-18
1770684037 Gigi J Toma Internal Medicine 810 Nw 10th Street, Suite A, Oklahoma City, OK 73106 2006-09-26
1033146550 T V Venkataraman Internal Medicine 1110 N Classen Blvd Ste 200, Oklahoma City, OK 73106 2006-06-28
1851351969 Leroy Southmayd IIi Internal Medicine 5555 N Grand Blvd, 100, Oklahoma City, OK 73112-5693 2006-03-23
1326047226 Chris M Sholer Internal Medicine 4334 Nw Expressway Ste 106, Oklahoma City, OK 73116-1515 2005-07-21
1689679623 Sudhir Kumar Khanna Internal Medicine 3366 Nw Expressway, Ste 550, Oklahoma City, OK 73112-4489 2005-06-16
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73134

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Dataset Information

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.

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