NPIMap

Individual provider Active NPI

Kavitha Sravanthi R Kadumpalli, M.D.

  • Pulmonary Disease Physician
  • Raleigh, NC
National Provider Identifier
1417000456
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2010-01481 Issued in NC
Practice address
2800 Blue Ridge Road
Suite 201
Raleigh, NC 27607
Phone
(919) 784-5650
Fax
(919) 784-5651
NPI assigned
Jan 22, 2007
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220984 MA
Pulmonary Disease Physician 207RP1001X 2010-01481 NC Primary

Addresses

Primary practice location

2800 Blue Ridge Road
Suite 201
Raleigh, NC 27607

Mailing address

2800 Blue Ridge Rd
Suite 201
Raleigh, NC 27607
Phone (919) 784-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000946 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8921290248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2605 Blue Ridge Rd
Suite 190
Raleigh, NC 27607-6475
Phone (919) 784-7460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220984MAMDInternal Medicine Physician
2010-01481NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Pulmonary Disease CurrentSince Jun 1, 2025 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

781 Avent Ferry Rd
Ste 208
Holly Springs, NC 27540
Phone (919) 784-7460

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2605 Blue Ridge Rd
Ste 190
Raleigh, NC 27607
Phone (919) 571-3661

2800 Blue Ridge Rd
Ste 201
Raleigh, NC 27607
Phone (919) 420-5000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: kkadumpalli11588@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1417000456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-784-5650",
            "fax_number": "919-784-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE ROAD",
            "address_2": "SUITE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-784-5650",
            "fax_number": "919-784-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADUMPALLI",
        "first_name": "KAVITHA SRAVANTHI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "220984",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2010-01481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.