Active NPI
Naga Raju Danthuluri, MD
- Anesthesiology Physician
- Decatur, AL
National Provider Identifier
1396862629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 00020090
- Practice address
- 2828 Highway 31 S
Decatur, AL 35603-1510 - Phone
- (256) 340-1212
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 00020090 | AL | Primary |
Addresses
Primary practice location
2828 Highway 31 S
Decatur, AL 35603-1510
Mailing address
2828 Highway 31 S
Decatur, AL 35603-1510
Phone (256) 340-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000021165 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Alabama College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2828 Hwy 31 S
Decatur, AL 35603-1538
Phone (256) 340-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020090 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Surgery Center LP | Current | Accepting new patients | |
| Decatur Ambulatory Surgery Center | Anesthesiology | Current | Accepting new patients |
Locations
2828 Highway 31 S
Decatur, AL 35603
Phone (256) 340-1212
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.
-
- Anesthesiology Physician
- Decatur, AL
- NPI 1487018412
-
- Ambulatory Surgical Clinic/Center
- Decatur, AL
- NPI 1386782787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1396862629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031510",
"telephone_number": "256-340-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031510",
"telephone_number": "256-340-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTHULURI",
"first_name": "NAGA",
"middle_name": "RAJU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "00020090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000021165",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.