Active NPI
Venkateswara Rao Dikkala, M.D.
- Pediatrics Physician
- Lawrenceville, GA
National Provider Identifier
1023076387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 048226
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Choice Pediatrics,LLC | Past | Accepting new patients | |
| Paragon Emergency Physicians PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Lawrenceville, GA
- NPI 1750509634
-
- Emergency Medicine Physician
- Snellville, GA
- NPI 1396782967
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.