Individual provider Active NPI

Sridevi Allu, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1912137365
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-01340 Issued in NC
Practice address
3200 Blue Ridge Rd Ste 210
Raleigh, NC 27612-8087
Phone
(919) 781-9979
Fax
(919) 781-0124
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012-01340 NC Primary

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 210
Raleigh, NC 27612-8087

Mailing address

PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 782-1806

Other identifiers 1

IdentifierTypeStateIssuer
5920870MedicaidNC

Other names 1

  • Sridevi Masavarapu Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000789 NC Practitioner - Family Practice 2062669120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

2800 Kidd Rd
Raleigh, NC 27610-1842
Phone (919) 231-9727

3200 Blue Ridge Rd
Suite 210
Raleigh, NC 27612-8087
Phone (919) 781-9979

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Jan 1, 2015 Accepting new patients
Raleigh Adult Medicine PA PastSince Jan 1, 2015 Accepting new patients

Locations

530 New Waverly Pl
Ste 200
Cary, NC 27518
Phone (919) 859-5955

3200 Blue Ridge Rd
Ste 210
Raleigh, NC 27612
Phone (919) 781-9979

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

Interoperability endpoints

  • Direct secure messaging: sridevimasavarapu@rcmg.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1912137365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18563",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198563",
            "telephone_number": "919-782-1806",
            "fax_number": "919-784-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-9979",
            "fax_number": "919-781-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLU",
        "first_name": "SRIDEVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-01340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIDEVI",
            "last_name": "MASAVARAPU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.