Anuradha Boddeti, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D58852 Issued in MD

Practice address

6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593

Phone

(410) 760-3588

Fax

(410) 760-3604

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Harbor Park Dialysis Dialysis facility, Brooklyn, MD, CCN 212556
• DaVita Glen Burnie Home Training Dialysis facility, Glen Burnie, MD, CCN 212674
• DaVita Aviation Blvd Dialysis Dialysis facility, Glen Burnie, MD, CCN 212631
• Medstar Harbor Hospital Hospital, Baltimore, MD, CCN 210034
• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anuradhaboddeti@mana.allscriptsdirect.net
• Direct secure messaging: aboddeti20458@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1356390108
  Medicare reassignment Care Compare group NPD
• Harbor Hospital

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1831110873
  NPD (past)
• Medstar Harbor Hospital Physicians LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1386067783
  NPD (past)
• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Lutherville, MD
  • NPI 1366291254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Healthcare Renal Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
  • NPI 1346200334

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidney Home Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glen Burnie, MD
  • NPI 1144597196

  Dialysis facility

  Care Compare affiliation Name & address match
• Victory Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glen Burnie, MD
  • NPI 1255623534

  Dialysis facility

  Care Compare affiliation Name & address match
• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Care Compare affiliation
• Harbor Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1720175623
  Care Compare affiliation
• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1023089471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD STE F",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "410-760-3588",
            "fax_number": "410-760-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDETI",
        "first_name": "ANURADHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D58852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.