NPIMap

Organization Active NPI

Dr.Babu Pediatrics P.C.

  • Pediatric Adolescent Medicine Physician
  • Worcester, MA
National Provider Identifier
1770794596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
DR.BABU PEDIATRICS P.C.
Practice address
10 Winthrop St
Suite#319
Worcester, MA 01604-4435
Phone
(508) 753-2240
Fax
(508) 753-3990
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Muddana Haribabu, M.D.NPI 1427158435
Title
President
Phone
(508) 753-2240

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

10 Winthrop St
Suite#319
Worcester, MA 01604-4435

Mailing address

10 Winthrop St
Suite#319
Worcester, MA 01604-4435
Phone (508) 753-2240

Other identifiers 5

IdentifierTypeStateIssuer
637398OtherMATUFTS HEALTHPLAN
96628301OtherMANETWORK HEALTH
81046OtherMAFALLON COMMUNITY HEALTH
M18980OtherMABLUECROSSBLUESHIELD
9736590MedicaidMA

National Provider Directory

National Provider Directory

Locations

10 Winthrop St
Ste 319
Worcester, MA 01604
Phone (508) 753-2240

Practitioners & affiliated clinicians

Practitioners 3

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770794596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "address_2": "SUITE#319",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-753-2240",
            "fax_number": "508-753-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "address_2": "SUITE#319",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-753-2240",
            "fax_number": "508-753-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.BABU PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARIBABU",
        "authorized_official_first_name": "MUDDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-753-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHPLAN",
            "identifier": "637398",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "96628301",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "81046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "M18980",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736590",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.