Active NPI
Smitha Gollamudi, M.D.
- Specialist
- Washington, DC
National Provider Identifier
1073514352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD35176
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2695 - Phone
- (202) 537-4787
- Fax
- (202) 537-4964
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD35176 | DC | Primary |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2695
Mailing address
2864 Johnson Ferry Rd
Suite 150
Marietta, GA 30062-5635
Phone (770) 693-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD35176 | DC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Regional Radiation Oncology Network Inc | Past | Accepting new patients | |
| Radiation Oncology Associates of Washington, PC | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Washington, DC
- NPI 1265413850
-
- Radiation Oncology Physician
- Manchester, CT
- NPI 1467516773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1073514352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2864 JOHNSON FERRY RD",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625635",
"telephone_number": "770-693-2622",
"fax_number": "770-693-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162695",
"telephone_number": "202-537-4787",
"fax_number": "202-537-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLAMUDI",
"first_name": "SMITHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DC",
"license": "MD35176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.