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DR. MOUNISH KARLAPUDI M.D.
NPI 1396165163
Internal Medicine in Marietta, OH

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
401 MATTHEW ST, MARIETTA, OH 45750(740) 374-7700 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 10, 2022, Apr 8, 2022, Jul 15, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Mounish Karlapudi M.d. NPPES

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

DR. MOUNISH KARLAPUDI M.D. (NPI 1396165163) is an individual internal medicine provider in Marietta, Ohio, licensed in Ohio (35.145236) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396165163
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOUNISH KARLAPUDICredential: M.D.
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing Address401 Matthew StMarietta, OH 45750-1635 · (765) 760-4034
Phone(740) 374-7700
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateJune 20, 20227 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1396165163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.145236✔ Licensed in IN · 01079462A✔ Licensed in WV · 29593
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35.145236 (OH)
401 MATTHEW ST, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700
Location 21 Memorial Sq Ste 2200Greenfield, IN 46140 · Phone (317) 462-6662 · Fax (317) 468-6275
Location 3801 N. State Street, 3 WestGreenfield, IN 46140-1270 · Phone (317) 477-6789 · Fax (317) 477-6790

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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. Mounish Karlapudi M.d. 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 ID4981820206
PECOS Enrollment IDI20200519001353
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 6

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.

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.
441 services124 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.
213 services105 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
86 services81 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services77 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.
68 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers18 claims18 services$16.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$79.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

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 Mounish Karlapudi's NPI number?

The NPI number for Mounish Karlapudi is 1396165163. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Mounish Karlapudi located?

Mounish Karlapudi practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 374-7700.

What is Mounish Karlapudi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mounish Karlapudi enrolled in Medicare?

Yes. Mounish Karlapudi 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 Mounish Karlapudi accept?

Health plans from CareSource and Molina Healthcare list Mounish Karlapudi 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 Mounish Karlapudi affiliated with any hospitals?

According to CMS data, Mounish Karlapudi is affiliated with Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Mounish Karlapudi was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.