NPIMap

Individual provider Active NPI

Haritha Vellanki, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1376757088
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
303354 Issued in LA
Practice address
500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128
Phone
(225) 925-2555
Fax
(225) 929-9685
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301085925 MI
Neonatal-Perinatal Medicine Physician 2080N0001X MT 192235 PA
Neonatal-Perinatal Medicine Physician 2080N0001X 303354 LA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X C1-0010596 DE
Pediatrics Physician 208000000X C1-0010596 DE

Addresses

Primary practice location

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128

Mailing address

500 Rue de la Vie
Suite 405
Baton Rouge, LA 70817-5128
Phone (225) 925-2555

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
4301085925MIMDPediatrics Physician
C1-0010596DEMDNeonatal-Perinatal Medicine Physician
303354LAMDNeonatal-Perinatal Medicine Physician
MT 192235PAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Neonatal Associates, Inc. Neonatal-Perinatal Medicine Past Accepting new patients
Cobb Hospital, Inc Past Accepting new patients
Baton Rouge Neonatal Associates, Inc. Past Accepting new patients
Marietta Neonatology, P.C. Neonatal-Perinatal Medicine Past Accepting new patients
Kennestone Hospital, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1376757088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-925-2555",
            "fax_number": "225-929-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE",
            "address_2": "SUITE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-925-2555",
            "fax_number": "225-929-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "HARITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085925",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MT 192235",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "303354",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "DE",
            "license": "C1-0010596",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0010596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.