Individual provider Active NPI

Badriprasad R Donthi, M.D.,

  • Pediatrics Physician
  • Morrisville, NC
National Provider Identifier
1871553503
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9800844 Issued in NC
Practice address
110 Lattner CT Ste 100
Morrisville, NC 27560-7886
Phone
(919) 462-6206
Fax
(919) 462-6207
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9800844 NC Primary
Pediatrics Physician 208000000X 9800084 NC

Addresses

Primary practice location

110 Lattner CT Ste 100
Morrisville, NC 27560-7886

Mailing address

110 Lattner CT Ste 100
Morrisville, NC 27560-7886
Phone (919) 462-6206

Other identifiers 1

IdentifierTypeStateIssuer
891168FMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800084NCMDAdolescent Medicine (Internal Medicine) Physician
9800844NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maruthi Pediatrics PLLC CurrentSince Sep 6, 2020 Accepting new patients

Locations

110 Lattner Ct
Ste 100
Morrisville, NC 27560
Phone (919) 462-6206

Interoperability endpoints

  • Direct secure messaging: badri.donthi@direct.maruthipediatrics.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1871553503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LATTNER CT STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607886",
            "telephone_number": "919-462-6206",
            "fax_number": "919-462-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LATTNER CT STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607886",
            "telephone_number": "919-462-6206",
            "fax_number": "919-462-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONTHI",
        "first_name": "BADRIPRASAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9800844",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9800084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891168F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.