Cary Childrens Clinic PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0095-01294 Issued in NC

Legal business name

CARY CHILDRENS CLINIC PC

Practice address

155 Parkway Office CT Ste 100
Cary, NC 27518-7427

Phone

(919) 852-3456

NPI assigned

Dec 14, 2017

Organization subpart

No

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

Authorized official

Name

Anil Kasula, MDNPI 1033276811

Title

Owner

Phone

(919) 852-3456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Anil Kumar Kasula, MD

  • Pediatrics Physician
  • Cary, NC
  • NPI 1033276811
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1891201737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PARKWAY OFFICE CT STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187427",
            "telephone_number": "919-852-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PARKWAY OFFICE CT STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187427",
            "telephone_number": "919-852-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY CHILDRENS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "KASULA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-852-3456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "0095-01294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Cary, NC
• Providers in Cary, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.