Individual provider Active NPI

Anantha Ramana Vellipuram, M.D.

  • Neurocritical Care Physician
  • Atlanta, GA
National Provider Identifier
1265745582
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
94882 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(470) 788-1010
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X 2023-02708 NC
Neurocritical Care Physician 2084A2900X Q8664 TX
Neurology Physician 2084N0400X Q8664 TX
Vascular Neurology Physician 2084V0102X Q8664 TX
Neurocritical Care Physician 2084A2900X 94882 GA Primary

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

440 Raynolds St
El Paso, TX 79905-1613
Phone (915) 215-4480

Other practice location 1

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7224

Other practice location 2

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, GA, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160804002308 TX Practitioner - NeurologyPractitioner - Other (Physician) 4486898293 Reassigns benefits to 2 organizations
I20231023003538 NC Practitioner - Neurology 4486898293 Reassigns benefits to 1 organization
I20240119002323 GA Practitioner - Neurology 4486898293 Reassigns benefits to 2 organizations
I20250214002305 WV Practitioner - Neurology 4486898293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

Arlington, TX 76005
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

Austin, TX 78704
Phone (972) 449-0540

100 Municipal Dr
Gun Barrel City, TX 75156-3702
Phone (972) 449-0540

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

11113 Research Blvd
Austin, TX 78759-5236
Phone (972) 449-0540

117 N Winnsboro St
Quitman, TX 75783-2144
Phone (972) 449-0540

11801 S Fwy
Burleson, TX 76028-7021
Phone (972) 449-0540

1201 Hill Rd
Smithville, TX 78957-9533
Phone (972) 449-0540

130 Hays St
Luling, TX 78648-3207
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (972) 449-0540

1700 E Saunders St
Laredo, TX 78041-5474
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540

1900 S D St
McAllen, TX 78503-1507
Phone (972) 449-0540

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2000 S Palestine St
Athens, TX 75751-5610
Phone (972) 449-0540

2001 N Oregon St
El Paso, TX 79902-3320
Phone (972) 449-0540

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (972) 449-0540

2101 Pease St
Harlingen, TX 78550-8307
Phone (972) 449-0540

270 Bruton Way
Atlanta, GA 30342-2052
Phone (972) 449-0540

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94882GAMDNeurocritical Care Physician
2023-02708NCMDNeurocritical Care Physician
Q8664TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Access Telecare, PLLC Neurology CurrentSince Mar 14, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 15, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Feb 12, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 15, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients
Texas Tech University Health Sciences Center Odessa PastSince Oct 13, 2019 Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • Direct secure messaging: avellipuram1169120@direct.novanthealth.org
  • Direct secure messaging: avellipuram914630@ahs.direct-ci.com

Organizations & group practices 10

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 3

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1265745582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYNOLDS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051613",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "470-788-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Silas Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033013",
            "country_code": "US",
            "telephone_number": "336-718-7224",
            "fax_number": "336-718-7598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5900",
            "fax_number": "915-215-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELLIPURAM",
        "first_name": "ANANTHA",
        "middle_name": "RAMANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2024-03-01",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NC",
            "license": "2023-02708",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "Q8664",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q8664",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "Q8664",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "GA",
            "license": "94882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.