NPIMap

Individual provider Active NPI

Sarath Kolluru, MD

  • Nephrology Physician
  • Burlington, NC
National Provider Identifier
1255534004
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2009-01247 Issued in NC
Practice address
2903 Professional Park Dr
Suite D
Burlington, NC 27215-9388
Phone
(336) 584-4913
Fax
(336) 584-4914
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2009-01247 NC Primary
Internal Medicine Physician 207R00000X 2009-01247 NC

Addresses

Primary practice location

2903 Professional Park Dr
Suite D
Burlington, NC 27215-9388

Mailing address

2903 Professional Park Dr
Suite D
Burlington, NC 27215-9388
Phone (336) 584-4913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090724000574 NC Practitioner - NephrologyPractitioner - Internal Medicine 0749333680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Carolina Kidney Associates PAGroup PAC ID 8729130711, 8 clinicians

Practice addresses (Care Compare)

102 Medical Park Dr
Suite C
Mebane, NC 27302-7615
Phone (336) 584-4913

Hospital & facility affiliations

  • DaVita Glen Raven Dialysis Dialysis facility, Burlington, NC, CCN 342726
  • FMC - Bma of Burlington Inc Dialysis facility, Burlington, NC, CCN 342533
  • DaVita Reidsville Dialysis Dialysis facility, Reidsville, NC, CCN 342640
  • DaVita Alamance County Dialysis Dialysis facility, Graham, NC, CCN 342709
  • DaVita Randleman Road Dialysis Dialysis facility, Greensboro, NC, CCN 342774
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Carolina Kidney Associates PA Nephrology CurrentSince Nov 1, 2012 Accepting new patients
Health Sciences Foundation Inc. Internal Medicine Past Accepting new patients
Sampson Regional Hospitalists, LLC Internal Medicine Past Accepting new patients
Cornelia Nixon Davis, Inc. Internal Medicine Past Accepting new patients
Cornelia Nixon Davis Inc. Past Accepting new patients

Locations

2903 Professional Park Dr
Ste D
Burlington, NC 27215
Phone (336) 584-4913

1200 N Elm St
Fl 5
Greensboro, NC 27401
Phone (336) 832-5700

102 Medical Park Dr
Ste C
Mebane, NC 27302
Phone (336) 584-4913

2509 Richardson Dr
Ste A
Reidsville, NC 27320
Phone (336) 347-7998

Interoperability endpoints

  • Direct secure messaging: skolluru24234@direct.acumenmd.com

Organizations & group practices 5

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.

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1255534004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 PROFESSIONAL PARK DR",
            "address_2": "SUITE D",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159388",
            "telephone_number": "336-584-4913",
            "fax_number": "336-584-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 PROFESSIONAL PARK DR",
            "address_2": "SUITE D",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159388",
            "telephone_number": "336-584-4913",
            "fax_number": "336-584-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLURU",
        "first_name": "SARATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2009-01247",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.