Individual provider Active NPI

Padmaja Reddy Gayam, MD

  • Allergy & Immunology Physician
  • Cary, NC
National Provider Identifier
1477536035
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
9701365 Issued in NC
Practice address
135 Parkway Office CT
Suite 100
Cary, NC 27518-7424
Phone
(919) 851-2223
Fax
(919) 851-2291
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 9701365 NC Primary

Addresses

Primary practice location

135 Parkway Office CT
Suite 100
Cary, NC 27518-7424

Mailing address

135 Parkway Office CT
Suite 100
Cary, NC 27518-7424
Phone (919) 851-2223

Other identifiers 1

IdentifierTypeStateIssuer
891310PMedicaidNC

Other names 1

  • Dr. Padmaja Reddy Parvata Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000050 NC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5799866695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Pkwy Office CT
Suite 100
Cary, NC 27518-7425
Phone (919) 851-2223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701365NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Allergy & Asthma P a CurrentSince Oct 1, 2002 Accepting new patients

Locations

135 Parkway Office Ct
Ste 100
Cary, NC 27518
Phone (919) 851-2223

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1477536035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187424",
            "telephone_number": "919-851-2223",
            "fax_number": "919-851-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187424",
            "telephone_number": "919-851-2223",
            "fax_number": "919-851-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYAM",
        "first_name": "PADMAJA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "9701365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891310P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PADMAJA",
            "last_name": "PARVATA",
            "middle_name": "REDDY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.