Organization Active NPI

Tots N Teens Pediatrics PLLC

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1760633994
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006-01825 Issued in NC
Legal business name
TOTS N TEENS PEDIATRICS PLLC
Practice address
3434 Kildaire Farm Rd
Ste No 124
Cary, NC 27518-2277
Phone
(919) 362-7155
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Radhika Sadagopan, M.DNPI 1578564571
Title
Organizer
Phone
(919) 362-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2006-01825 NC Primary

Addresses

Primary practice location

3434 Kildaire Farm Rd
Ste No 124
Cary, NC 27518-2277

Mailing address

3434 Kildaire Farm Rd
Ste No 124
Cary, NC 27518-2277
Phone (919) 362-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029000572 NC Part B Supplier - Clinic/Group Practice 3870026990 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1101037Tots N Teens Pediatrics, PLLC3434 Kildaire Farm Road, Suite 124, Cary, NC 27518Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory

Locations

3434 Kildaire Farm Rd
Ste 124
Cary, NC 27518
Phone (919) 362-7155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1760633994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 KILDAIRE FARM RD",
            "address_2": "STE NO 124",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182277",
            "telephone_number": "919-362-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 KILDAIRE FARM RD",
            "address_2": "STE NO 124",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182277",
            "telephone_number": "919-362-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTS N TEENS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "SADAGOPAN",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "919-362-7155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2006-01825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.