Active NPI
Gangadhar Madupu, M.D.
- Neurology Physician
- Rome, NY
National Provider Identifier
1114017969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 216519
- Practice address
- 1617 N James St
Rome, NY 13440-2852 - Phone
- (315) 533-1025
- Fax
- (315) 533-1006
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 216519 | NY | Primary |
Addresses
Primary practice location
1617 N James St
Rome, NY 13440-2852
Mailing address
1617 N James St
Rome, NY 13440-2852
Phone (315) 533-1025
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10049766 | Other | CDPHP | |
| 3099103 | Other | GHI | |
| 13625 | Other | NY | MVP |
| 02112967 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suresh Rayancha MD PC | Past | Accepting new patients | |
| Nalin Kumar Sinha Phys P C | Past | Accepting new patients | |
| Kidney and Hypertension Consultant, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Nephrology Physician
- Utica, NY
- NPI 1699796623
-
- Psychiatry Physician
- New Hartford, NY
- NPI 1518002492
-
- Psychiatry Physician
- New Hartford, NY
- NPI 1184791667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114017969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402852",
"telephone_number": "315-533-1025",
"fax_number": "315-533-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402852",
"telephone_number": "315-533-1025",
"fax_number": "315-533-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADUPU",
"first_name": "GANGADHAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "216519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10049766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "3099103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "13625",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02112967",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.