Active NPI
Venugopal Naidu Gadipudi, M.D.
- Neurology Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 200400863
- Practice address
- 2500 Village Dr
Ste 102
Fayetteville, NC 28304-3811 - Phone
- (910) 484-0029
- Fax
- (910) 484-0275
- NPI assigned
- Jun 14, 2005
- Last updated
- Aug 22, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 200400863 | NC | Primary |
Addresses
Primary practice location
2500 Village Dr
Ste 102
Fayetteville, NC 28304-3811
Mailing address
601 Brisbane CT
Fayetteville, NC 28314-2549
Phone (910) 728-1090
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891375A | Medicaid | NC | |
| 561775962 | Other | NC | TRICARE |
| 13754A | Other | NC | BCBS |
| 561775962 | Other | NC | COMMERICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
2500 Village Dr
Fayetteville, NC 28304-3982
Phone (910) 484-0029
721 Tilghman Dr
Dunn, NC 28334-6066
Phone (910) 892-5635
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Neurology Associates, PLLC | Neurology | Current | Accepting new patients |
| Broome Neurosciences, P C | Past | Accepting new patients | |
| Cape Fear Neurology Associates PA | Past | Accepting new patients |
Locations
2500 Village Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-0029
Interoperability endpoints
- https://api.platform.athenahealth.com/22662/brand/1/csg/1/fhir/r4
- venugopal.gadipudi.1@22662.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Fayetteville, NC
- NPI 1831208867
-
- Specialist
- Fayetteville, NC
- NPI 1508829003
-
- Specialist
- Binghamton, NY
- NPI 1184771024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1073518494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BRISBANE CT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142549",
"telephone_number": "910-728-1090",
"fax_number": "910-484-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 VILLAGE DR",
"address_2": "STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043811",
"telephone_number": "910-484-0029",
"fax_number": "910-484-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADIPUDI",
"first_name": "VENUGOPAL",
"middle_name": "NAIDU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "200400863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891375A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "561775962",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13754A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERICAL",
"identifier": "561775962",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.