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DR. HEMAMALINI KARPURAPU MD
NPI 1164689618
Internal Medicine - Hematology & Oncology in Weirton, WV

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
651 COLLIERS WAY STE 401, WEIRTON, WV 26062(304) 797-6198 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2020, May 15, 2017 (2 updates tracked since 2017).

About Dr. Hemamalini Karpurapu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEMAMALINI KARPURAPU MD (NPI 1164689618) is an individual hematology & oncology provider in Weirton, West Virginia, licensed in West Virginia (27691) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164689618
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. HEMAMALINI KARPURAPUCredential: MD
Location Address651 COLLIERS WAY STE 401Weirton, WV 26062-5054
Mailing Address651 Colliers Way Ste 300Weirton, WV 26062-5058
Phone(304) 797-6198
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 21, 2008
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1164689618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WV · 27691
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
651 COLLIERS WAY STE 401, Weirton, WV 26062
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Other Identifiers 3

Medicaid1033922100001PA
Medicaid1164689618WV
Medicaid0240454OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hemamalini Karpurapu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537291836
PECOS Enrollment IDI20171010002535
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
283 services160 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
221 services139 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI L MCKIM
Nurse Practitioner
651 COLLIERS WAY STE 401
WEIRTON, WV 26062
Hancock County (304) 908-4617
VALERIE SUE DAVIS CRNP
Nurse Practitioner (Family)
651 COLLIERS WAY STE 401
WEIRTON, WV 26062
Hancock County (304) 908-4617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hemamalini Karpurapu's NPI number?

The NPI number for Hemamalini Karpurapu is 1164689618. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Hemamalini Karpurapu located?

Hemamalini Karpurapu practices at 651 Colliers Way Ste 401, Weirton, WV 26062. The listed phone number is (304) 797-6198.

What is Hemamalini Karpurapu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Hemamalini Karpurapu enrolled in Medicare?

Yes. Hemamalini Karpurapu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hemamalini Karpurapu accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Hemamalini Karpurapu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hemamalini Karpurapu affiliated with any hospitals?

According to CMS data, Hemamalini Karpurapu is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Harrison Community Hospital, West Virginia University Hospitals, Inc, Weirton Medical Center, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Hemamalini Karpurapu was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.