{"npi":"1225250129","type":"NPI-1","status":"active","name":{"display":"Dr. Ravi Kudumula M.D.","other":[],"first":"RAVI","last":"KUDUMULA","credential":"M.D."},"specialty":{"primary_taxonomy":"2080N0001X","primary_taxonomy_description":"Neonatal-Perinatal Medicine Physician","slug":"neonatal-perinatal-medicine-physician","schema_org_specialty":null,"all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"TN","license":"43609"},{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":false,"state":"TN","license":"43609"},{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":true,"state":"IN","license":"01075277A"}]},"addresses":[{"purpose":"LOCATION","street_1":"11115 PARKVIEW PLAZA DR","city":"FORT WAYNE","state":"IN","postal_code":"468451701","country_code":"US","phone":"2606726400","fax":"2606726459"},{"purpose":"MAILING","street_1":"11109 PARKVIEW PLAZA DR # 117","city":"FORT WAYNE","state":"IN","postal_code":"468451701","country_code":"US"}],"license":{"state":"IN","number":"01075277A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q001555","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151026001049","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"IN","pac_id":"8527106822"}]},"enumeration_date":"2007-05-02","last_updated":"2023-01-04","_meta":{"source":"NPPES","snapshot_date":"2023-01-04","doc_url":"https://findmynpi.com/api"}}