Individual provider Active NPI

Arunima Mamidi, MD

  • Infectious Disease Physician
  • Plainsboro, NJ
National Provider Identifier
1730196478
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA068633 Issued in NJ
Practice address
5 Plainsboro Road
Suite 360
Plainsboro, NJ 08536
Phone
(609) 750-0011
Fax
(609) 750-0022
NPI assigned
Aug 2, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA068633 NJ Primary

Addresses

Primary practice location

5 Plainsboro Road
Suite 360
Plainsboro, NJ 08536

Mailing address

PO Box 145
Blawenburg, NJ 08504
Phone (609) 371-4666

Other identifiers 4

IdentifierTypeStateIssuer
7947607MedicaidNJ
2227114001OtherKEYSTONE
60006502OtherHORIZON NJ HEALTH
J31841OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20090310000519 NJ Practitioner - Infectious Disease 0941366330 Reassigns benefits to 1 organization
I20250213003510 PA Practitioner - Infectious Disease 0941366330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mamidi Arunima MD LLCGroup PAC ID 5698822922, 5 clinicians

Practice addresses (Care Compare)

5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (609) 750-0011

501 Bath Rd
Suite 201
Bristol, PA 19007-3101
Phone (215) 785-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA068633NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mamidi Arunima MD LLC Infectious Disease CurrentSince Feb 18, 2009 Accepting new patients

Locations

5 Plainsboro Rd
Ste 360
Plainsboro, NJ 08536
Phone (215) 662-4212

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

Organizations & group practices 1

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 4

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1730196478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "BLAWENBURG",
            "state": "NJ",
            "postal_code": "08504",
            "telephone_number": "609-371-4666",
            "fax_number": "609-443-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO ROAD",
            "address_2": "SUITE 360",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-750-0011",
            "fax_number": "609-750-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMIDI",
        "first_name": "ARUNIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA068633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7947607",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2227114001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60006502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J31841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.