Active NPI
Dhaya Prasad Nandipamu, FNP -C
- Family Nurse Practitioner
- Washington DC, DC
National Provider Identifier
1992371157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R229986
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Source LLC | Family | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.