Active NPI
Natalie Induck Vajta, MD
- Pediatrics Physician
- Washington, DC
National Provider Identifier
1962852491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0094900
- Practice address
- 3839 1/2 Alabama Ave SE
Washington, DC 20020-1001 - Phone
- (202) 582-6800
- Fax
- (202) 584-1665
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39739 | SC | |
| Pediatrics Physician | 208000000X | D0094900 | MD | Primary |
Addresses
Primary practice location
3839 1/2 Alabama Ave SE
Washington, DC 20020-1001
Mailing address
PO Box 744787
Atlanta, GA 30374-4787
Phone (301) 754-3060
Other practice location 1
9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226
Phone (301) 599-0900
Other practice location 2
575 Ingles Dr
Inman, SC 29349-8314
Phone (864) 342-4090
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCF9996084 | Other | SC | MEDICARE PIN |
| 266330900 | Medicaid | MD | |
| 397396 | Medicaid | SC | |
| 065977233 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nvajta145995@direct-srhs.et0939.epichosted.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0094900 | MD | MD | Pediatrics Physician |
| 39739 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Pediatricians & Associates, LLC | Pediatrics | Current | Accepting new patients |
| Spartanburg Medical Center | Past | Accepting new patients | |
| Children'S Pediatricians & Associates, LLC | Pediatrics | Past | Accepting new patients |
Locations
3839 Alabama Ave SE
Washington, DC 20020
Phone (202) 582-6800
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Washington, DC
- NPI 1558175349
-
- Pediatrics Physician
- Silver Spring, MD
- NPI 1396932687
-
- Obstetrics & Gynecology Physician
- Spartanburg, SC
- NPI 1376580852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1962852491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744787",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744787",
"telephone_number": "301-754-3060",
"fax_number": "301-681-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3839 1/2 ALABAMA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200201001",
"telephone_number": "202-582-6800",
"fax_number": "202-584-1665"
}
],
"practiceLocations": [
{
"address_1": "9015 Woodyard Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MD",
"postal_code": "207354226",
"country_code": "US",
"telephone_number": "301-599-0900",
"fax_number": "301-599-7828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Ingles Dr",
"address_purpose": "LOCATION",
"city": "Inman",
"state": "SC",
"postal_code": "293498314",
"country_code": "US",
"telephone_number": "864-342-4090",
"fax_number": "864-578-7098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAJTA",
"first_name": "NATALIE",
"middle_name": "INDUCK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2023-04-26",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "39739",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0094900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCF9996084",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266330900",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "397396",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065977233",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nvajta145995@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "nvajta145995@direct-srhs.et0939.epichosted.com",
"address_1": "575 Ingles Dr",
"city": "Inman",
"state": "SC",
"country_code": "US",
"postal_code": "293498314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.