Cholavardhan Kondeti

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

RTL25-0781 Issued in NC

Practice address

300 W 27TH St
Lumberton, NC 28358-3075

Phone

(910) 671-5000

NPI assigned

May 27, 2025

Last updated

May 27, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

State licenses

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1619760170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OAKWOOD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDETI",
        "first_name": "CHOLAVARDHAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "RTL25-0781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Brewington Kirby, RPH
• Jessica Naki Kisseih
• Michael James Koesterer, MD
• Sreya Rashmitha Kolluru, DO
• Renaud Srivatsav Komandur, DO
• Kailash Kumar
• KV Consultants and Associates Inc.
• L Tate Haymon DDS
• Jody Lakey Jr., DO
• Parshotam Lal, MD

• Internal Medicine Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.