Individual provider Active NPI

Dhaya Prasad Nandipamu, FNP -C

  • Family Nurse Practitioner
  • Washington DC, DC
National Provider Identifier
1992371157
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R229986 Issued in MD
Practice address
Medstar Washington Hospital Center
110 Irving Street NW
Washington DC, DC 20010
Phone
(202) 877-7000
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R229986 MD Primary

Addresses

Primary practice location

Medstar Washington Hospital Center
110 Irving Street NW
Washington DC, DC 20010

Mailing address

7604 Alloway LN
Beltsville, MD 20705-6321
Phone (301) 875-3122

Other names 1

  • Dr. Dhaya Selvaraj Muthiah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308001215 DC Practitioner - Nurse Practitioner 4981077195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Source LLC 3 clinicians

Practice addresses (Care Compare)

4301 Garden City Dr
Suite 304
Hyattsville, MD 20785-6105
Phone (301) 235-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Source LLC Family CurrentSince Nov 10, 2022 Accepting new patients

Locations

6305 Ivy Ln
Ste 101
Greenbelt, MD 20770
Phone (301) 235-0060

4301 Garden City Dr
Ste 304
Hyattsville, MD 20785
Phone (301) 235-0060

Interoperability endpoints

  • Direct secure messaging: dhaya.nandipamu.1@32304.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1992371157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 ALLOWAY LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207056321",
            "telephone_number": "301-875-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDSTAR WASHINGTON HOSPITAL CENTER",
            "address_2": "110 IRVING STREET NW",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20010",
            "telephone_number": "202-877-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDIPAMU",
        "first_name": "DHAYA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "FNP -C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R229986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHAYA",
            "last_name": "MUTHIAH",
            "middle_name": "SELVARAJ",
            "prefix": "DR.",
            "credential": "DHAYA S MUTHIAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington DC, DC

Sources for this page

Verify at the official NPI Registry.