Lakshmi P Baddela, M.D.,P.C.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

D0047873 Issued in MD

Legal business name

LAKSHMI P BADDELA, M.D.,P.C.

Practice address

2635 Smallwood Dr
Abingdon, MD 21009-1532

Phone

(443) 371-6999

Fax

(443) 371-6998

NPI assigned

Jun 30, 2011

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakshmi Prasina Baddela, M.D.NPI 1477585941

Title

Psychiatrist/Owner

Phone

(443) 371-6999

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakshmi Prasuna Baddela, M.D.

  • Psychiatry Physician
  • Abingdon, MD
  • NPI 1477585941
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1023305885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 SMALLWOOD DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091532",
            "telephone_number": "443-371-6999",
            "fax_number": "443-371-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 SMALLWOOD DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091532",
            "telephone_number": "443-371-6999",
            "fax_number": "443-371-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMI P BADDELA, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BADDELA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "PRASINA",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "443-371-6999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MD",
            "license": "D0047873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHA",
            "identifier": "IP166039",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS, BLUE CHOICE, ETC",
            "identifier": "M281",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14VP",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "942649097",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anastasia Koukoulis, MA.T
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• Sheryll Dawn Kutcher
• Jacquelin Landsman, MPT
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• Steven Lattanzi, CP, COA
• Leading by Example LLC
• Leading by Example LLC.

• Point of Service in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Point of Service in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.