NPIMap

Individual provider Active NPI

Shalini Madugundi, M.D

  • Internal Medicine Physician
  • Pittsburg, CA
National Provider Identifier
1154635506
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A125552 Issued in CA
Practice address
2220 Gladstone Dr Ste 3
Pittsburg, CA 94565-5123
Phone
(925) 432-3318
Fax
(925) 432-0886
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125552 CA Primary

Addresses

Primary practice location

2220 Gladstone Dr Ste 3
Pittsburg, CA 94565-5123

Mailing address

2220 Gladstone Dr Ste 3
Pittsburg, CA 94565-5123
Phone (925) 432-3318

Other practice location 1

2015 E Mariposa Rd
Stockton, CA 95205-7735
Phone (209) 751-1900

Other names 1

  • Shalini Dabbadi Lakshmipathi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105000850 CA Practitioner - Internal Medicine 5193950855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2220 Gladstone Dr
Suite 3
Pittsburg, CA 94565-5123
Phone (925) 432-3318

Hospital & facility affiliations

  • John Muir Home Health Services Home health agency, Concord, CA, CCN 057276
  • Amavi Home Health and Hospice Care Services, Inc. Home health agency, Brentwood, CA, CCN 559139
  • JMJ Home Health Services Home health agency, Brentwood, CA, CCN 059309
  • Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612
  • Bay Nation Home Health Services Inc Home health agency, Newark, CA, CCN 553127
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125552CAMDClinical Social Worker
A125552CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburg-Antioch Medical Group a Professional Corporation Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
County of San Joaquin Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2400 Balfour Rd
Ste 306
Brentwood, CA 94513
Phone (925) 432-3318

2220 Gladstone Dr
Ste 3
Pittsburg, CA 94565
Phone (925) 432-3318

Interoperability endpoints

  • Direct secure messaging: shalini.dabbadilakshmipathi.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: smadugundi18243@hpmg.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1154635506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR STE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "925-432-3318",
            "fax_number": "925-432-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR STE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "925-432-3318",
            "fax_number": "925-432-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 E Mariposa Rd",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952057735",
            "country_code": "US",
            "telephone_number": "209-751-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADUGUNDI",
        "first_name": "SHALINI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALINI",
            "last_name": "DABBADI LAKSHMIPATHI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.