Individual provider Active NPI

Atchuthanand Budi, MD

  • Pediatrics Physician
  • Hagerstown, MD
National Provider Identifier
1104881200
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0053290 Issued in MD
Practice address
1141 Opal Court
Hagerstown, MD 21740
Phone
(301) 791-6666
Fax
(301) 791-4549
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0053290 MD
Hospitalist Physician 208M00000X D0053290 MD
Pediatrics Physician 208000000X D0053290 MD Primary

Addresses

Primary practice location

1141 Opal Court
Hagerstown, MD 21740

Mailing address

1141 Opal Court
Hagerstown, MD 21740
Phone (301) 791-6666

Other identifiers 1

IdentifierTypeStateIssuer
552300100MedicaidMD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160603001420 MD Practitioner - Pediatric Medicine 3072803006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Practices of Antietam, LLC 229 clinicians
Meritus Urgent Care LLC 41 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

17301 Valley Mall Rd
Suite 125
Hagerstown, MD 21740-6966
Phone (301) 790-9239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053290MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care LLC CurrentSince Aug 2, 2024 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Jul 1, 2021 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jul 1, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince May 13, 2016 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince May 13, 2016 Accepting new patients
Meritus Urgent Care, LLC Current Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Meritus Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Center Inc PastSince Jan 1, 2023 Accepting new patients
Opal Court Pediatrics, P.a. Pediatrics Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

17301 Valley Mall Rd
Ste 125
Hagerstown, MD 21740
Phone (301) 790-9236

186 Eastern Blvd N
Hagerstown, MD 21740
Phone (301) 302-7837

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

22911 Jefferson Blvd
Smithsburg, MD 21783
Phone (301) 824-1711

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17459/brand/1/csg/1/fhir/r4
  • Direct secure messaging: abudi1144656@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meritus Medical Center IncHagerstown, MD, CCN 210001 Hospital W-2 Managing Employee Jan 1, 2023
Meritus Home HealthHagerstown, MD, CCN 217085 Home health agency W-2 Managing Employee Jan 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1104881200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 OPAL COURT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-791-6666",
            "fax_number": "301-791-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 OPAL COURT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-791-6666",
            "fax_number": "301-791-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDI",
        "first_name": "ATCHUTHANAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0053290",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0053290",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0053290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552300100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.