Individual provider Active NPI

Bhargava Mullapudi, M.D.

  • Pediatric Surgery Physician
  • Atlanta, GA
National Provider Identifier
1649584780
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
101880 Issued in GA
Practice address
2220 N Druid Hills Rd NE # CL.14324
Atlanta, GA 30329-3117
Phone
(404) 785-0389
NPI assigned
Jul 30, 2010
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A141239 CA
Pediatric Surgery Physician 2086S0120X 2021046945 MO
Pediatric Surgery Physician 2086S0120X A141239 CA
Pediatric Surgery Physician 2086S0120X 35.126267 OH
Pediatric Surgery Physician 2086S0120X 101880 GA Primary

Addresses

Primary practice location

2220 N Druid Hills Rd NE # CL.14324
Atlanta, GA 30329-3117

Mailing address

2220 N Druid Hills Rd NE # CL.14324
Atlanta, GA 30329-3117
Phone (404) 785-0389

Other practice location 1

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 701-5200

Other practice location 2

234 Goodman St
Cincinnati, OH 45219
Phone (513) 475-8787

Other practice location 3

8110 Birmingham Way
San Diego, CA 92123-2758
Phone (858) 966-7711

Other practice location 4

8110 Birmingham Way
San Diego, CA 92123-2758
Phone (858) 966-7711

Other practice location 5

3333 Burnet Ave # Mlc2023
Cincinnati, OH 45229-3026
Phone (513) 636-4371

Other practice location 6

8110 Birmingham Way
San Diego, CA 92123-2758
Phone (858) 966-7711

Other practice location 7

3333 Burnet Ave # Mlc2023
Cincinnati, OH 45229-3026
Phone (513) 636-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220216000607 MO Practitioner - General SurgeryPractitioner - Pediatric Medicine 1052534856 Reassigns benefits to 1 organization
I20250113003051 GA Practitioner - General Surgery 1052534856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choa Hospital Based, LLCGroup PAC ID 4688812498, 97 clinicians

Practice addresses (Care Compare)

2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (404) 785-5437

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141239CAMDPediatric Surgery Physician
101880GAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Feb 3, 2025 Accepting new patients
Choa Multispecialty, LLC Current Accepting new patients
Choa Hospital Based, LLC CurrentSince Nov 1, 2024 Accepting new patients
Egleston Pediatric Group Current Accepting new patients
The Children's Mercy Hospital Past Accepting new patients
The Emory Clinic Pediatric Providers Pediatric Surgery Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440

Interoperability endpoints

  • Direct secure messaging: bmullapudi233935@direct.uchealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1649584780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N DRUID HILLS RD NE # CL.14324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293117",
            "telephone_number": "404-785-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N DRUID HILLS RD NE # CL.14324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293117",
            "telephone_number": "404-785-0389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Gillham Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641084619",
            "country_code": "US",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-475-8787",
            "fax_number": "513-475-7348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 Birmingham Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232758",
            "country_code": "US",
            "telephone_number": "858-966-7711",
            "fax_number": "858-966-7712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 Birmingham Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232758",
            "country_code": "US",
            "telephone_number": "858-966-7711",
            "fax_number": "858-966-7712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Burnet Ave # Mlc2023",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4371",
            "fax_number": "513-636-7657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 Birmingham Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232758",
            "country_code": "US",
            "telephone_number": "858-966-7711",
            "fax_number": "858-966-7712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Burnet Ave # Mlc2023",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4371",
            "fax_number": "513-636-7657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLAPUDI",
        "first_name": "BHARGAVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A141239",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MO",
            "license": "2021046945",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A141239",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "35.126267",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "GA",
            "license": "101880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.