Active NPI
Kavitha Konduru, MD
- Neonatal-Perinatal Medicine Physician
- Baltimore, MD
National Provider Identifier
1285837237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- D0069753
- Practice address
- 1235 E Monument St
Baltimore, MD 21202-5327 - Phone
- (410) 327-5100
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | D0069753 | MD | Primary |
| Pediatrics Physician | 208000000X | D0069753 | MD |
Addresses
Primary practice location
1235 E Monument St
Baltimore, MD 21202-5327
Mailing address
5010 York Rd
Baltimore, MD 21212-4444
Phone (410) 443-2200
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0069753 | MD | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000
Interoperability endpoints
- kkonduru380852@direct.hopkinsmedicine.org
Organizations & group practices 4
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.
-
- Neonatal-Perinatal Medicine Physician
- Baltimore, MD
- NPI 1912661182
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- 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": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1285837237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 YORK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212124444",
"telephone_number": "410-443-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E MONUMENT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212025327",
"telephone_number": "410-327-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDURU",
"first_name": "KAVITHA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MD",
"license": "D0069753",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0069753",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.