Active NPI
Atchuthanand Budi, MD
- Pediatrics Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0053290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 552300100 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCMeritus Urgent Care LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0053290 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Urgent Care LLC | Current | Accepting new patients | |
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Pediatrics | Current | 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 | Past | 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
- https://api.platform.athenahealth.com/17459/brand/1/csg/1/fhir/r4
- abudi1144656@direct.trinity-health.org
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Meritus Medical Center Inc | Hospital | W-2 Managing Employee | Jan 1, 2023 |
| Meritus Home Health | 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.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
W-2 Managing Employee
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.
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
- Orthopaedic Surgery Physician
- Frederick, MD
- NPI 1144986233
-
- Orthopaedic Surgery Physician
- Hagerstown, MD
- NPI 1437815529
-
- Clinic/Center
- Hagerstown, MD
- NPI 1043065667
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1912645169
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1972379568
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.