Individual provider Active NPI

Natalie Induck Vajta, MD

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1962852491
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0094900 Issued in MD
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

Updated by the provider on Apr 26, 2023

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 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

IdentifierTypeStateIssuer
SCF9996084OtherSCMEDICARE PIN
266330900MedicaidMD
397396MedicaidSC
065977233MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
D0094900MDMDPediatrics Physician
39739SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Pediatricians & Associates, LLC Pediatrics CurrentSince Feb 9, 2025 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Children'S Pediatricians & Associates, LLC Pediatrics PastSince Apr 30, 2023 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.

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.

Verify at the official NPI Registry.