Active NPI
Sagar V.Nootheti,M.D.P.a
- Orthopaedic Surgery Physician
- College Park, MD
National Provider Identifier
1851690705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D24694
- Legal business name
- SAGAR V.NOOTHETI,M.D.P.A
- Practice address
- 4700 Berwyn House Rd
Suite 108
College Park, MD 20740-2474 - Phone
- (301) 345-0077
- Fax
- (301) 345-4489
- NPI assigned
- Mar 17, 2011
- Organization subpart
- Yes
- Parent organization
- NOOTHETI,SAGAR VIDYA,M.D
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anita Randev
- Title
- Office Manager
- Phone
- (301) 345-0077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D24694 | MD | Primary |
Addresses
Primary practice location
4700 Berwyn House Rd
Suite 108
College Park, MD 20740-2474
Mailing address
4700 Berwyn House Rd
Suite 108
College Park, MD 20740-2474
Phone (301) 345-0077
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28320001 | Other | DC | BC/FED |
| 6480SV | Other | MD | BC/MD |
| 62308 | Other | MD | CIGNA |
| 1345251700 | Medicaid | MD | |
| 146085200 | Other | DC | DEPT.OF LABOR |
| 60054 | Other | MD | AETNA |
| 23222 | Other | MD | AETNA |
National Provider Directory
National Provider Directory- Part of
- Sagar Vnoothetimdpa
Locations
4700 Berwyn House Rd
Ste 108
College Park, MD 20740
Phone (301) 345-0077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300320000000",
"number": "1851690705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 BERWYN HOUSE RD",
"address_2": "SUITE 108",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402474",
"telephone_number": "301-345-0077",
"fax_number": "301-345-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 BERWYN HOUSE RD",
"address_2": "SUITE 108",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402474",
"telephone_number": "301-345-0077",
"fax_number": "301-345-4489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGAR V.NOOTHETI,M.D.P.A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NOOTHETI,SAGAR VIDYA,M.D",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A",
"authorized_official_last_name": "RANDEV",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-345-0077",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D24694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/FED",
"identifier": "28320001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/MD",
"identifier": "6480SV",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "62308",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1345251700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT.OF LABOR",
"identifier": "146085200",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "23222",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.