Active NPI
Vishwanath Raju Danthuluri, MD
- Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 76809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76809 | GA | MD | Surgery Physician |
| R4825 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Bariatric Surgeons PLLC | Surgery | Current | Accepting new patients |
| Sarira Wellness LLC | Surgery | Current | Accepting new patients |
| Beltline Bariatric and Surgical Group LLC | Surgery | Current | 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.
-
- Surgery Physician
- Atlanta, GA
- NPI 1700232865
-
- Surgery Physician
- Marietta, GA
- NPI 1831084235
-
- Surgery Physician
- Austin, TX
- NPI 1700836756
-
- Obesity Medicine (Preventive Medicine) Physician
- Atlanta, GA
- NPI 1134686090
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.