NPIMap

Individual provider Active NPI

Rajya L. Atluri, M.D.

  • Family Medicine Physician
  • Leland, NC
National Provider Identifier
1871546796
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-02645 Issued in NC
Practice address
9101 Ocean Hwy E
Leland, NC 28451-7867
Phone
(910) 341-3300
Fax
(910) 251-2067
NPI assigned
May 19, 2006
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35079822 OH
Family Medicine Physician 207Q00000X 2019-02645 NC Primary

Addresses

Primary practice location

9101 Ocean Hwy E
Leland, NC 28451-7867

Mailing address

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300

Other practice location 1

552 Randall Rd
South Elgin, IL 60177
Phone (224) 535-7700

Other practice location 2

2900 Foxfield Rd
St Charles, IL 60174-5799
Phone (630) 377-6500

Other identifiers 2

IdentifierTypeStateIssuer
2261298MedicaidOH
080172737OtherOHRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200410000097 NC Practitioner - Family Practice 8325059637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-02645NCMDFamily Medicine Physician
35079822OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Health PLLC CurrentSince Mar 16, 2020 Accepting new patients
Wha Medical Clinic PLLC Current Accepting new patients
Wilmington ASC LLC CurrentSince Mar 16, 2020 Accepting new patients
Wilmington Health PLLC Current Accepting new patients
Central Dupage Physician Group Family Medicine PastSince Jan 1, 2012 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

9101 Ocean Hwy E
Leland, NC 28451
Phone (910) 343-5464

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • Direct secure messaging: rajya.atluri.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 6

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 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1871546796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 OCEAN HWY E",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517867",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "60177",
            "country_code": "US",
            "telephone_number": "224-535-7700",
            "fax_number": "847-695-0887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Foxfield Rd",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601745799",
            "country_code": "US",
            "telephone_number": "630-377-6500",
            "fax_number": "630-797-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATLURI",
        "first_name": "RAJYA",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079822",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-02645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261298",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080172737",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

Verify at the official NPI Registry.