Active NPI
Smithfield Family Practice PA
- Family Medicine Physician
- Smithfield, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200401238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raghu R. Katuru, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316970908 | Other | NC | NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0240213 | Smithfield Family Practice PA | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- Treva Laytana Smith, MA, LCAS(P)
- Smithfield Chiropractic PLLC
- Smithfield Crossings Family Healthcare, PA
- Smithfield Eye Associates Optometry
- Smithfield Family Eye Care OD PA
- Smithfield Holdings LLC
- Smithfield Holdings, LLC
- Smithfield Manor, Inc.
- Smithfield Pulmonology
- Smithfield Radiation Oncology, LLC
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.