Poornima Baddi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2011-01887 Issued in NC

Practice address

10410 Park Rd Ste 100
Charlotte, NC 28210-6568

Phone

(573) 891-9127

NPI assigned

Aug 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Poornima Chintalapalli Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbaddi721280@direct.novanthealth.org
• Direct secure messaging: pbaddi@healthykidz.azalea.phimailbox.com

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.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Healthy Kidz

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1326785551
  NPD Authorized official
• Novant Health Medical Group, LLC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1205320306
  NPD
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1134841802
  NPD (past)
• South Charlotte Pediatrics, PLLC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1396705042
  NPD (past)

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1487800611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106568",
            "telephone_number": "573-891-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106568",
            "telephone_number": "573-891-9127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 N Douglass St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MO",
            "postal_code": "638631512",
            "country_code": "US",
            "telephone_number": "573-276-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 707",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "48073",
            "country_code": "US",
            "telephone_number": "248-551-0487",
            "fax_number": "248-551-3696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 707",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "48073",
            "country_code": "US",
            "telephone_number": "248-551-0487",
            "fax_number": "248-551-3696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-1007",
            "fax_number": "248-964-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Queens Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28204",
            "country_code": "US",
            "telephone_number": "704-316-5910",
            "fax_number": "704-316-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADDI",
        "first_name": "POORNIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "00000",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "MI",
            "license": "4301106558",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NC",
            "license": "2011-01887",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2011-01887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbaddi721280@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "806 N Douglass St",
            "city": "Malden",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638631512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "POORNIMA",
            "last_name": "CHINTALAPALLI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Byron Denartus Bacon
• Jonathan Mark Bacon, R.PH.
• Vito John Badalamenti, MD
• Rupal Naresh Badalyan, MD
• Sara Nelly Badano, MD
• Krishnamohan R Baddigam, MD
• Isabel Badeau
• Mark Jonathan Badenhop, PT, DPT
• Jillian Nicole Badger-Reyes, PA
• Hanna Moore Badger, PT

• Pediatrics Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.