Individual provider Active NPI

Vishwanath Raju Danthuluri, MD

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1699118844
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
76809 Issued in GA
Practice address
371 E Paces Ferry Rd NE Ste 750
Atlanta, GA 30305-2372
Phone
(470) 419-4380
Fax
(470) 298-7736
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R4825 TX
Surgery Physician 208600000X 76809 GA Primary

Addresses

Primary practice location

371 E Paces Ferry Rd NE Ste 750
Atlanta, GA 30305-2372

Mailing address

2110 Powers Ferry Rd SE Ste 302
Atlanta, GA 30339-5015
Phone (470) 419-4380

Other practice location 1

2110 Powers Ferry Rd SE Ste 302
Atlanta, GA 30339-5015
Phone (470) 419-4380

Other practice location 2

300 Bullsboro Dr Ste B-C
Newnan, GA 30263-1680
Phone (770) 683-3230

Other practice location 3

550 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-9082
Phone (678) 782-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20190916001576 TX Practitioner - General Surgery 5799089314 Reassigns benefits to 1 organization
I20220126001518 GA Practitioner - General Surgery 5799089314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beltline Bariatric and Surgical Group LLCGroup PAC ID 6204114929, 3 clinicians

Practice addresses (Care Compare)

371 E Paces Ferry Rd NE
Suite 750
Atlanta, GA 30305-2372
Phone (470) 419-4380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76809GAMDSurgery Physician
R4825TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Bariatric Surgeons PLLC Surgery CurrentSince Sep 1, 2019 Accepting new patients
Sarira Wellness LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Beltline Bariatric and Surgical Group LLC Surgery CurrentSince Jan 20, 2022 Accepting new patients
Beltline Weight Loss LLC Past Accepting new patients

Locations

371 E Paces Ferry Rd NE
Ste 750
Atlanta, GA 30305
Phone (470) 419-4380

3193 Howell Mill Rd NW
Ste 125
Atlanta, GA 30327
Phone (404) 352-1223

2110 Powers Ferry Rd SE
Ste 302
Atlanta, GA 30339
Phone (470) 419-4380

300 Bullsboro Dr
Ste Bc
Newnan, GA 30263
Phone (470) 419-4380

550 Eagles Landing Pkwy
Ste 204
Stockbridge, GA 30281
Phone (470) 419-4380

5625 Eiger Rd
Ste 230
Austin, TX 78735
Phone (512) 441-7755

3705 Medical Pkwy
Ste 250
Austin, TX 78705
Phone (512) 302-1210

3705 Medical Pkwy
Ste 210
Austin, TX 78705
Phone (512) 338-5024

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1699118844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 POWERS FERRY RD SE STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395015",
            "telephone_number": "470-419-4380",
            "fax_number": "470-298-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY RD NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052372",
            "telephone_number": "470-419-4380",
            "fax_number": "470-298-7736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 Powers Ferry Rd SE Ste 302",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303395015",
            "country_code": "US",
            "telephone_number": "470-419-4380",
            "fax_number": "470-298-7736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bullsboro Dr Ste B-C",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302631680",
            "country_code": "US",
            "telephone_number": "770-683-3230",
            "fax_number": "470-298-7732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Eagles Landing Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819082",
            "country_code": "US",
            "telephone_number": "678-782-3866",
            "fax_number": "470-298-7732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTHULURI",
        "first_name": "VISHWANATH",
        "middle_name": "RAJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R4825",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "76809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.