Individual provider Active NPI

Hima B Palakurthi, MD

  • Child & Adolescent Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1346397833
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2007-00030 Issued in NC
Practice address
5904 Norwood Knolls Way
Raleigh, NC 27614-8296
Phone
(919) 414-1334
Fax
(919) 414-1334
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 2007-00030 NC Primary

Addresses

Primary practice location

5904 Norwood Knolls Way
Raleigh, NC 27614-8296

Mailing address

5904 Norwood Knolls Way
Raleigh, NC 27614-8296
Phone (919) 414-1334

Other identifiers 1

IdentifierTypeStateIssuer
5905884MedicaidNC

Other names 1

  • Hima Javangula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00030NCMDChild & Adolescent Psychiatry Physician
00030NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph LLC Past Accepting new patients
Child and Family Psychiatry PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1346397833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 NORWOOD KNOLLS WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148296",
            "telephone_number": "919-414-1334",
            "fax_number": "919-414-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 NORWOOD KNOLLS WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148296",
            "telephone_number": "919-414-1334",
            "fax_number": "919-414-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAKURTHI",
        "first_name": "HIMA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2007-00030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905884",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIMA",
            "last_name": "JAVANGULA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.