Deepti Ananthula, MD
Individual provider Active NPI Internal Medicine Physician · Washington, NC
NPI 1487848917 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1487848917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD441283 (PA)
- Practice address
- 1380 Cowell Farm Rd
Washington, NC 27889-3431 - Phone
- (215) 361-4854
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vidant Medical Group LLC
Practice addresses (Care Compare)
1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
Hospital & facility affiliations
- Gentiva Health Services
- Ecu Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181105000427 | NC | Practitioner - Internal Medicine | 6204016900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
1380 Cowell Farm Rd
Washington, NC 27889
Phone (252) 946-0900
Interoperability endpoints
- dananthula282366@direct.vidanthealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD441283 | PA | Yes |
Addresses
Primary practice location
1380 Cowell Farm Rd
Washington, NC 27889-3431
Mailing address
1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (215) 361-4854
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD441283 | Other | PA | MEDICAL LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dananthula282366@direct.vidanthealth.com |
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All providers in Washington, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.