Nanda Kishore Maddineni, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238.000564 Issued in IL

Practice address

850 W Irving Park Rd
Chicago, IL 60613-3077

Phone

(773) 975-6730

NPI assigned

Jan 4, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Veda Surgical LLC

  • Surgical Assistant
  • Indian Head Park, IL
  • NPI 1598695421
  NPD Authorized official

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1073020756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133077",
            "telephone_number": "773-975-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133077",
            "telephone_number": "773-975-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDINENI",
        "first_name": "NANDA",
        "middle_name": "KISHORE",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Irene Madden, MA,LPC
• Liam Quinn Madden
• Stephanie Madden, DACOM, L. AC
• Karen Lisa Maddi, PH.D.
• Denisha Maddie, LPC
• Chelsea Berndl Maddock Sherrington, M.A., L.P.C.
• Jordan Alexander Maddox, DO
• Made It Out Services
• Made Resilient Physical Therapy and Sports Performance, PLLC
• Madeina Wellness

• Surgical Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.