Individual provider Active NPI

Jyothi Chowdary Nannapaneni, M.D

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1659529147
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
259947 Issued in NY
Practice address
4414 Lake Boone TRL Ste 308
Raleigh, NC 27607-7514
Phone
(919) 781-7450
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 259947 NY Primary

Addresses

Primary practice location

4414 Lake Boone TRL Ste 308
Raleigh, NC 27607-7514

Mailing address

4414 Lake Boone TRL Ste 308
Raleigh, NC 27607-7514

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
I20170206001355 NC Practitioner - Obstetrics/Gynecology 8820156607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

1110 SE Cary Pkwy
Suite 200
Cary, NC 27518-7420
Phone (919) 487-2249

1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632

4414 Lake Boone TRL
Raleigh, NC 27607-7514

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003167NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Feb 24, 2020 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Nov 21, 2016 Accepting new patients
JHMC Diagnostic and Treatment Center Obstetrics & Gynecology Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

4414 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 232-6896

4414 Lake Boone Trl
Ste 308
Raleigh, NC 27607
Phone (919) 781-7450

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: jyothi.nannapaneni.1@7773.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1659529147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 308",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 308",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514",
            "telephone_number": "919-781-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNAPANENI",
        "first_name": "JYOTHI",
        "middle_name": "CHOWDARY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "259947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.