Organization Active NPI

Maruthi Pediatrics PLLC

  • Primary Care Clinic/Center
  • Morrisville, NC
National Provider Identifier
1518148014
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9800844 Issued in NC
Legal business name
MARUTHI PEDIATRICS PLLC
Practice address
110 Lattner CT Ste 100
Morrisville, NC 27560-7886
Phone
(919) 462-6206
Fax
(919) 462-6207
NPI assigned
Nov 26, 2007
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Dr. Badrprasad R Donthi, MD
Title
President
Phone
(919) 462-6206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9800844 NC Primary

Addresses

Primary practice location

110 Lattner CT Ste 100
Morrisville, NC 27560-7886

Mailing address

110 Lattner CT Ste 100
Morrisville, NC 27560-7886
Phone (919) 462-6206

Other identifiers 2

IdentifierTypeStateIssuer
891168FMedicaidNC
5908625MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1077160Maruthi Pediatrics, PLLC110 Lattner Court, Suite 100, Morrisville, NC 27560Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

110 Lattner Ct
Ste 100
Morrisville, NC 27560
Phone (919) 342-3627

3528 Davis Dr
Morrisville, NC 27560
Phone (919) 234-6016

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1518148014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LATTNER CT STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607886",
            "telephone_number": "919-462-6206",
            "fax_number": "919-462-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LATTNER CT STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607886",
            "telephone_number": "919-462-6206",
            "fax_number": "919-462-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARUTHI PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "DONTHI",
        "authorized_official_first_name": "BADRPRASAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-462-6206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9800844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891168F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908625",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.