Sarath B. Dommaraju, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2007-00317 Issued in NC

Practice address

400 Ashville Ave
Suite 100
Cary, NC 27518-6134

Phone

(919) 858-0600

Fax

(919) 858-0540

NPI assigned

Oct 13, 2006

Last updated

Sep 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Apex Pediatric and Adolescent Clinic,P.a

  dba Care Pediatrics

  • Primary Care Clinic/Center
  • Cary, NC
  • NPI 1083866370
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1922198753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-858-0600",
            "fax_number": "919-858-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-858-0600",
            "fax_number": "919-858-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMMARAJU",
        "first_name": "SARATH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301088908",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2007-00317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Marie Kolasa Dohse, OTR/L
• Ralph Dolfi, DMD
• Amanda Dombrowski, PA-C
• Heather L Domina, DPT
• Alyssa Domingue
• Patrick W Donahue, MD
• Joseph Edward Donald Dondero, BCBA
• Tom Donofrio, LMBT
• Kristin Lynn Donoghue, MD
• Lettie Marie Doran, MD

• 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 Sep 28, 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.

Verify at the official NPI Registry.