Individual provider Active NPI

Sudha Lakshmi Akkapeddi, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bronx, NY
National Provider Identifier
1043375314
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
205629 Issued in NY
Practice address
2016 Bronxdale Ave
Suite 101
Bronx, NY 10462-3388
Phone
(718) 918-1102
Fax
(718) 918-9756
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 205629 NY Primary

Addresses

Primary practice location

2016 Bronxdale Ave
Suite 101
Bronx, NY 10462-3388

Mailing address

9 Private Lovett CT
Blauvelt, NY 10913-1247
Phone (845) 398-1711

Other identifiers 1

IdentifierTypeStateIssuer
01896859MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329001195 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric MedicinePractitioner - Pain Management 4587610803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Health Medical Services, P.C. 4 clinicians
Union Community Health Center Inc 49 clinicians

Practice addresses (Care Compare)

2244 Palisades Ctr Dr
West Nyack, NY 10994-6402
Phone (845) 358-7828

260 E 188TH St
Bronx, NY 10458-5302
Phone (718) 618-8236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Stat Health Medical Services, P.C. CurrentSince Apr 1, 2016 Accepting new patients

Locations

2244 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 237-0081

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: sakkapeddi20118@sbhny.direct-ci.net
  • Direct secure messaging: sudha.akkapeddi.1@18107.direct.athenahealth.com

Organizations & group practices 10

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1043375314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PRIVATE LOVETT CT",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131247",
            "telephone_number": "845-398-1711",
            "fax_number": "845-942-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623388",
            "telephone_number": "718-918-1102",
            "fax_number": "718-918-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKKAPEDDI",
        "first_name": "SUDHA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "205629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01896859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.