Ricardo Barrios Maddela, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19313 Issued in KY

Practice address

1413 N Elm St
Suite 206
Henderson, KY 42420

Phone

(270) 826-9595

Fax

(270) 826-3656

NPI assigned

Aug 20, 2006

Last updated

Dec 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ricardo B Maddela MD PSC

  • Surgery Physician
  • Henderson, KY
  • NPI 1508168972
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1053426163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42419",
            "telephone_number": "270-826-9595",
            "fax_number": "270-826-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "address_2": "SUITE 206",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-826-9595",
            "fax_number": "270-826-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDELA",
        "first_name": "RICARDO",
        "middle_name": "BARRIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "19313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193139",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sravani Lokineni
• Kimberly Lorey
• Lisa Lovell, FNP, APRN
• Pamela Kay Lowe, LICENSED OPTICIAN
• Deborah Kay Lynn, LPN
• Zenaida A. Maddela, M.D.
• Kyle R Majnarich, DMD
• Nicole Jeanne Makovic, FNP-C
• Bary Mana Malik, MD
• Lela K Marable, ARNP

• Surgery Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.