Organization Active NPI

Smithfield Family Practice PA

  • Family Medicine Physician
  • Smithfield, NC
National Provider Identifier
1548465735
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200401238 Issued in NC
Legal business name
SMITHFIELD FAMILY PRACTICE PA
Practice address
1551 E Booker Dairy Rd
Smithfield, NC 27577-9472
Phone
(919) 934-8977
Fax
(919) 938-3108
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Dr. Raghu R. Katuru, MDNPI 1316970908
Title
Owner&Doctor
Phone
(919) 934-8977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 200401238 NC Primary

Addresses

Primary practice location

1551 E Booker Dairy Rd
Smithfield, NC 27577-9472

Mailing address

1551 E Booker Dairy Rd
Smithfield, NC 27577-9472
Phone (919) 934-8977

Other identifiers 1

IdentifierTypeStateIssuer
1316970908OtherNCNPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000395 NC Part B Supplier - Clinic/Group Practice 4486669827 Receives reassigned benefits from 1 practitioner
Practice locations: Smithfield, NC

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
34D0240213Smithfield Family Practice PA1551 E Booker Dairy Rd, Smithfield, NC 27577Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1551 E Booker Dairy Rd
Smithfield, NC 27577
Phone (919) 934-8977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1548465735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779472",
            "telephone_number": "919-934-8977",
            "fax_number": "919-938-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779472",
            "telephone_number": "919-934-8977",
            "fax_number": "919-938-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHFIELD FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "KATURU",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER&DOCTOR",
        "authorized_official_telephone_number": "919-934-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200401238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1316970908",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.