Phani R Nimmagadda, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201565-1 Issued in NY

Practice address

12 Manor Rd
Smithtown, NY 11787-2715

Phone

(631) 724-4110

Fax

(631) 366-2669

NPI assigned

Oct 2, 2005

Last updated

Jan 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pnimmagadda14914@direct-chsli.net

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1104813401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MANOR RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872715",
            "telephone_number": "631-724-4110",
            "fax_number": "631-366-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MANOR RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872715",
            "telephone_number": "631-724-4110",
            "fax_number": "631-366-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "PHANI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201565-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrean Newland
• Nick H Gabriel DO PC
• Kirk Matthew Niemann, PHYSICAL THERAPIST
• Karen Joan Nigro
• Ivonne Nikirk, OTR
• Perrine C Nixon, NP
• Melissa Ann Nocella-Thakkar, RPA-C
• Jennifer Noll, LPN
• Dorothy Nollman, MSW
• Liliang Nong

• Internal Medicine Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.