NPIMap

Individual provider Active NPI

Ramesh Babu Konduru

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1477717445
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010-00095 Issued in NC
Practice address
10640 Durant Rd Ste 101
Raleigh, NC 27614-6566
Phone
(919) 870-0197
Fax
(919) 870-0265
NPI assigned
Jul 17, 2008
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2010-00095 NC Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2010-00095 NC

Addresses

Primary practice location

10640 Durant Rd Ste 101
Raleigh, NC 27614-6566

Mailing address

203 Michelangelo Way
Cary, NC 27518-8716
Phone (919) 870-0197

Other identifiers 1

IdentifierTypeStateIssuer
5919360MedicaidNC

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
I20111213000005 NC Practitioner - Geriatric MedicinePractitioner - Internal Medicine 6608059241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triangle Geriatric and Memory Clinic PLLCGroup PAC ID 8325271299, 3 clinicians

Practice addresses (Care Compare)

10640 Durant Rd
Suite 101
Raleigh, NC 27614-6566
Phone (919) 870-0197

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00095NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Triangle Geriatric and Memory Clinic, PLLC Geriatric Medicine CurrentSince Dec 30, 2013 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Comprehensive Care Services Current Accepting new patients
Capital Primary Care Internal Medicine CurrentSince Jul 16, 2023 Accepting new patients
Park Urgent Care PLLC CurrentSince Jun 2, 2019 Accepting new patients
Universal Health Care / North Raleigh, Inc Past Accepting new patients
Universal Health Care Lillington, Inc. Past Accepting new patients
Universal Health Care Fuquay-Varina Inc Past Accepting new patients

Locations

7560 Carpenter Fire Station Rd
Cary, NC 27519
Phone (919) 235-6545

907 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 319-6610

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

10640 Durant Rd
Ste 101
Raleigh, NC 27614
Phone (919) 319-6610

2920 Highwoods Blvd
Raleigh, NC 27604

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: rkonduru601246@directhisp.wakemed.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Litchford Falls Health and Rehabilitation CenterRaleigh, NC, CCN 345499 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2026
May 22, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Litchford Operator LLC

    dba Litchford Falls Health and Rehabilitation Center

    • Skilled Nursing Facility
    • Raleigh, NC
    • NPI 1740031905

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 10

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1477717445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MICHELANGELO WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188716",
            "telephone_number": "919-870-0197",
            "fax_number": "919-870-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 DURANT RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146566",
            "telephone_number": "919-870-0197",
            "fax_number": "919-870-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDURU",
        "first_name": "RAMESH",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00095",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2010-00095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.