Individual provider Active NPI

Venkateswara Rao Dikkala, M.D.

  • Pediatrics Physician
  • Lawrenceville, GA
National Provider Identifier
1023076387
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
048226 Issued in GA
Practice address
2775 Cruse Rd
Suite 1801
Lawrenceville, GA 30044-7140
Phone
(678) 380-9199
Fax
(908) 634-2861
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 048226 GA Primary

Addresses

Primary practice location

2775 Cruse Rd
Suite 1801
Lawrenceville, GA 30044-7140

Mailing address

2775 Cruse Rd
Suite 1801
Lawrenceville, GA 30044-7140
Phone (678) 380-9199

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Choice Pediatrics,LLC Past Accepting new patients
Paragon Emergency Physicians PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vdikkala8035@choa.gadirect.net

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023076387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD",
            "address_2": "SUITE 1801",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447140",
            "telephone_number": "678-380-9199",
            "fax_number": "908-634-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD",
            "address_2": "SUITE 1801",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447140",
            "telephone_number": "678-380-9199",
            "fax_number": "908-634-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKKALA",
        "first_name": "VENKATESWARA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "048226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.