Raja Sekhar Reddy Dondeti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-7207 Issued in AR

Practice address

701 SW Regional Airport Blvd
Suite 1
Bentonville, AR 72716-0001

Phone

(479) 268-7640

Fax

(479) 254-2951

NPI assigned

Apr 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raj Dondeti Professional name

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Hospital BerryvilleGroup PAC ID 9032022769, 17 clinicians

Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Circle of Life Hospice Hospice, Springdale, AR, CCN 041529
• Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdondeti320068@directc.mercy.net

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.

• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  Medicare reassignment Care Compare group NPD
• Mercy Hospital Berryville

  • Critical Access Hospital
  • Berryville, AR
  • NPI 1457306326
  Medicare reassignment Care Compare group NPD
• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1326389404
  NPD
• Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
  • NPI 1770087371
  NPD

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

• Circle of Life

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460
  Care Compare affiliation
• Mercy Hospital Rogers

  • General Acute Care Hospital
  • Rogers, AR
  • NPI 1316902414
  Care Compare affiliation

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1194040865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SW REGIONAL AIRPORT BLVD",
            "address_2": "SUITE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160001",
            "telephone_number": "479-268-7640",
            "fax_number": "479-254-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SW REGIONAL AIRPORT BLVD",
            "address_2": "SUITE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160001",
            "telephone_number": "479-268-7640",
            "fax_number": "479-254-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDETI",
        "first_name": "RAJA SEKHAR REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJ",
            "last_name": "DONDETI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brooke E Dixon
• Ashley May DO
• Doc Network, Inc.
• Rebecca L Dockery, MHPP
• Xavier Domineack
• Brie Donelan, M.S., CFY-SLP
• Kynvieya Donnerson
• Haley Marie Donoway, RD
• Dorothy L Mellon MD PA
• Aaron P Doss

• Family Medicine Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.

Verify at the official NPI Registry.