Active NPI
Sai Lakshmi Pallimalli, MD
- Pediatrics Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201401605
- Practice address
- 2620 E 7TH St
Suite 100
Charlotte, NC 28204-4381 - Phone
- (704) 332-7141
- Fax
- (704) 342-3324
- NPI assigned
- Feb 8, 2010
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 201401605 | NC | Primary |
Addresses
Primary practice location
2620 E 7TH St
Suite 100
Charlotte, NC 28204-4381
Mailing address
PO Box 647
Hope Mills, NC 28348-0647
Phone (910) 483-7337
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093047664 | Medicaid | NC | |
| 13477037 | Other | NC | PHCS/MULTIPLAN |
| 260610 | Other | NC | MEDCOST |
| 5881053 | Other | NC | UNITED HEALTHCARE |
| 6035671 | Other | NC | CIGNA/GREATWEST |
| 19GJV | Other | NC | BCBS OF NC |
| 1093047664 | Other | NC | HUMANA |
| 9545505 | Other | NC | AETNA |
| FH1101985 | Other | NC | FIRST CAROLINA CARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201401605 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Pediatrics | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Healthy Kidz | Pediatrics | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Pediatrics | Current | Accepting new patients |
| Kidzcare Pediatrics, PC | Pediatrics | Past | Accepting new patients |
| Snitz Pediatrics | Past | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
6030 W Highway 74
Ste F
Indian Trail, NC 28079
Phone (704) 246-2900
3173 W Highway 74
Monroe, NC 28110
Phone (704) 283-2000
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064
Interoperability endpoints
- spallimalli2742074@carolinashealthcaresystem.direct-ci.com
- sai@healthykidz.azalea.phimailbox.com
Organizations & group practices 11
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Pediatrics Physician
- Monroe, NC
- NPI 1538415906
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- Pediatrics Physician
- Whiteville, NC
- NPI 1851724645
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1326785551
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1639548340
-
- Primary Care Clinic/Center
- Charlotte, NC
- NPI 1376890418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1093047664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283480647",
"telephone_number": "910-483-7337",
"fax_number": "910-483-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 E 7TH ST",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282044381",
"telephone_number": "704-332-7141",
"fax_number": "704-342-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLIMALLI",
"first_name": "SAI",
"middle_name": "LAKSHMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "201401605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093047664",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS/MULTIPLAN",
"identifier": "13477037",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "260610",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "5881053",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/GREATWEST",
"identifier": "6035671",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19GJV",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1093047664",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9545505",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH1101985",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.