KEERTI LAXMI DANTULURI MD
NPI 1285045963
Pediatrics - Pediatric Infectious Diseases in Charlotte, NC

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 17 more (20 updates tracked since 2017).

About Keerti Laxmi Dantuluri Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEERTI LAXMI DANTULURI MD (NPI 1285045963) is an individual pediatric infectious diseases provider in Charlotte, North Carolina, licensed in North Carolina (2020-00790) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1285045963
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameKEERTI LAXMI DANTULURICredential: MD
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateJuly 15, 202420 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1285045963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in NC · 2020-00790
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 2020-00790 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422
Location 22550 Court DrGastonia, NC 28054-2152 · Phone (704) 381-8840
Location 314214 Ballantyne Lake RdCharlotte, NC 28277-3372 · Phone (704) 381-8840
Location 41001 Blythe Blvd, Ste 500Charlotte, NC 28203-5866 · Phone (704) 373-1813

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keerti Laxmi Dantuluri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133548340
PECOS Enrollment IDI20201007000866
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Keerti Dantuluri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Hematology-Oncology
1001 BLYTHE BLVD, STE 601A
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keerti Dantuluri's NPI number?

The NPI number for Keerti Dantuluri is 1285045963. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Keerti Dantuluri located?

Keerti Dantuluri practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.

What is Keerti Dantuluri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Keerti Dantuluri enrolled in Medicare?

Yes. Keerti Dantuluri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keerti Dantuluri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keerti Dantuluri reassigns Medicare benefits to 3 organizations: Carolinas Medical Center (Charlotte, NC), Carolinas Physicians Network, Inc. (Charlotte, NC) and Health Services Of Central Georgia, Inc (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keerti Dantuluri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keerti Dantuluri accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and BlueCross BlueShield of South Carolina and 3 other insurers list Keerti Dantuluri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keerti Dantuluri affiliated with any hospitals?

According to CMS data, Keerti Dantuluri is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Keerti Dantuluri was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.