Padmaja Devi Adusumilli, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-31169 Issued in KS

Practice address

4101 S 4TH St
Leavenworth, KS 66048-5014

Phone

(913) 682-2000

Fax

(913) 758-4119

NPI assigned

May 1, 2006

Last updated

Jun 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Padmaja Devi Ghanta Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1144288168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485014",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485014",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUSUMILLI",
        "first_name": "PADMAJA",
        "middle_name": "DEVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-31169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PADMAJA",
            "last_name": "GHANTA",
            "middle_name": "DEVI",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Acevedo, LMSW
• Charolette Loraine Adams, LSCSW
• Monika Adams, DO
• Victoria Addison, RN
• Adnan Ashkar MD PA (Leav OB GYN)
• Affinty at Home, LLC
• Affordable Dental of Olathe, LLC (Affordable Dental of Leavenworth)
• Amanda Katherine Afoa, LMFT-T
• Priscilla Agali, NURSE PRACTITIONER
• Jessica Aguilar

• Internal Medicine Physician in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.