Individual provider Active NPI

Asmitha Reddy Buddam, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1417113192
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2011-00569 Issued in NC
Practice address
2100 Erwin Rd
Durham, NC 27705-3941
Phone
(919) 684-7228
NPI assigned
Aug 1, 2008
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2011-00569 NC Primary

Addresses

Primary practice location

2100 Erwin Rd
Durham, NC 27705-3941

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121001000303 FL Practitioner - Diagnostic Radiology 7810166097 Reassigns benefits to 2 organizations
I20151005002044 AZ Practitioner - Diagnostic Radiology 7810166097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J Cohen MD PLLCGroup PAC ID 3375793383, 3 clinicians
QMG, LLCGroup PAC ID 2961590435, 30 clinicians

Practice addresses (Care Compare)

1008 Bittersweet Branch CT
Saint Johns, FL 32259-5261
Phone (408) 460-0678

210 S Federal Hwy
Suite 403
Hollywood, FL 33020-6811
Phone (954) 927-1776

6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 314-4280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00569NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMG, LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Radiology Consultants of Hollywood Inc Diagnostic Radiology PastSince Mar 1, 2025 Accepting new patients

Locations

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Fl 2
Hollywood, FL 33020
Phone (954) 927-1776

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

Networks

  • Freedom Health HMO Network

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 1

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1417113192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053941",
            "telephone_number": "919-684-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDAM",
        "first_name": "ASMITHA",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2011-00569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.