NPIMap

Individual provider Active NPI

Anuradha Kolluru, M.D

  • Cardiovascular Disease Physician
  • Federal Way, WA
National Provider Identifier
1124261532
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
61026973 Issued in WA
Practice address
34509 9TH Ave S Ste 304
Federal Way, WA 98003-8709
Phone
(253) 939-1230
Fax
(253) 952-6824
NPI assigned
Apr 15, 2009
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-129668 IL
Internal Medicine Physician 207R00000X 4301087252 MI
Cardiovascular Disease Physician 207RC0000X 61026973 WA Primary

Addresses

Primary practice location

34509 9TH Ave S Ste 304
Federal Way, WA 98003-8709

Mailing address

34509 9TH Ave S Ste 304
Federal Way, WA 98003-8709
Phone (253) 939-1230

Other practice location 1

2300 N Edward St
Suite 2400
Decatur, IL 62526-4163
Phone (217) 876-2400

Other names 1

  • Anuradha M Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727001532 WA Practitioner - Cardiovascular Disease (Cardiology) 8921262296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

34509 9TH Ave S
Suite 304
Federal Way, WA 98003-8709
Phone (253) 939-1230

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087252MIMDInternal Medicine Physician
036-129668ILMDCardiovascular Disease Physician
61026973WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Jul 13, 2020 Accepting new patients
Virginia Mason Medical Center Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center Cardiovascular Disease CurrentSince Sep 1, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Jul 13, 2020 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

205 10th St NE
Auburn, WA 98002
Phone (253) 351-5300

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34509 9th Ave S
Ste 304
Federal Way, WA 98003
Phone (253) 939-1230

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: akolluru619344@fhsce.catholichealth.net

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1124261532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 304",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038709",
            "telephone_number": "253-939-1230",
            "fax_number": "253-952-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 304",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038709",
            "telephone_number": "253-939-1230",
            "fax_number": "253-952-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Edward St",
            "address_2": "Suite 2400",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625264163",
            "country_code": "US",
            "telephone_number": "217-876-2400",
            "fax_number": "217-876-2405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLURU",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-129668",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087252",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "61026973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANURADHA",
            "last_name": "M",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.