Individual provider Active NPI

Raveendra Babu Orugunta, M.D

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1639177207
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2005-00410 Issued in NC
Practice address
3100 NC Highway 55
Suite 202
Cary, NC 27519-8426
Phone
(919) 367-9833
Fax
(919) 367-9832
NPI assigned
Jul 8, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005-00410 NC Primary

Addresses

Primary practice location

3100 NC Highway 55
Suite 202
Cary, NC 27519-8426

Mailing address

3100 NC Highway 55
Suite 202
Cary, NC 27519-8426
Phone (919) 367-9833

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150318002178 NC Practitioner - Pediatric Medicine 2961427653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005-00410NCMDPediatrics Physician
002362NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRX High Point, PLLC CurrentSince Oct 8, 2025 Accepting new patients
Wyckoff Emergency Medicine Services, P.C. PastSince Jun 1, 1999 Accepting new patients
DRX High Point, PLLC PastSince May 12, 2024 Accepting new patients
R & R Pediatrics, PLLC Pediatrics Past Accepting new patients

Locations

6400 Fayetteville Rd
Durham, NC 27713
Phone (919) 551-2000

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1639177207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NC HIGHWAY 55",
            "address_2": "SUITE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198426",
            "telephone_number": "919-367-9833",
            "fax_number": "919-367-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NC HIGHWAY 55",
            "address_2": "SUITE 202",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198426",
            "telephone_number": "919-367-9833",
            "fax_number": "919-367-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUGUNTA",
        "first_name": "RAVEENDRA",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2005-00410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.