Individual provider Active NPI

Kanthi Rekha Badipatla, M.D

  • Gastroenterology Physician
  • Silver Spring, MD
National Provider Identifier
1467745869
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0101878 Issued in MD
Practice address
2415 Musgrove Rd Ste 109
Silver Spring, MD 20904-5221
Phone
(301) 838-4244
Fax
(301) 838-4244
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 291758 NY
Gastroenterology Physician 207RG0100X 291758 NY
Gastroenterology Physician 207RG0100X D0101878 MD Primary

Addresses

Primary practice location

2415 Musgrove Rd Ste 109
Silver Spring, MD 20904-5221

Mailing address

1650 Selwyn Ave
Apartment 15 E
Bronx, NY 10457-7626
Phone (718) 715-5553

Other practice location 1

199 Mount Eden Pkwy
Bronx, NY 10457-7703
Phone (718) 992-7669

Other practice location 2

10110 Molecular Dr Ste 111
Rockville, MD 20850-7538
Phone (301) 838-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 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
I20180521001811 NY Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 2668737719 Reassigns benefits to 2 organizations
I20241120001108 DC Practitioner - Gastroenterology 2668737719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ghanshyam Gupta, M.D. PCGroup PAC ID 0840249587, 6 clinicians
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 111
Rockville, MD 20850-7538
Phone (301) 838-4224

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205

4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214

4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392

Hospital & facility affiliations

  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux134

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgery Center,LLC CurrentSince Nov 21, 2024 Accepting new patients
Bronxcare Health System CurrentSince May 1, 2018 Accepting new patients
Ghanshyam Gupta, M.D. PC Gastroenterology CurrentSince Nov 1, 2024 Accepting new patients
Bronxcare Health System Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Ghanshyam Gupta, M.D. PC Gastroenterology Current Accepting new patients
Cardiology Physicians PC Past Accepting new patients
Sandra J. Goldman-Cohen, O.D., LLC Past Accepting new patients

Locations

10110 Molecular Dr
Ste 111
Rockville, MD 20850
Phone (301) 468-2400

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

2415 Musgrove Rd
Ste 109
Silver Spring, MD 20904
Phone (301) 384-5700

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBBDD

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1467745869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SELWYN AVE",
            "address_2": "APARTMENT 15 E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577626",
            "telephone_number": "718-715-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 109",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045221",
            "telephone_number": "301-838-4244",
            "fax_number": "301-838-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Mount Eden Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577703",
            "country_code": "US",
            "telephone_number": "718-992-7669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10110 Molecular Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208507538",
            "country_code": "US",
            "telephone_number": "301-838-4224",
            "fax_number": "301-838-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADIPATLA",
        "first_name": "KANTHI REKHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291758",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "291758",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0101878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.