Annapurna Jasti Maddali, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35071617 Issued in OH

Practice address

10663 Loveland Madeira Rd
Suite-279
Loveland, OH 45140-8965

Phone

(513) 244-8866

NPI assigned

Jul 11, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mason Primary Care Inc

  • Family Medicine Physician
  • Mason, OH
  • NPI 1316115041
  NPD (past)
• Qualified Emergency Specialists Inc

  • Emergency Medicine Physician
  • Montgomery, OH
  • NPI 1700872728
  NPD (past)
• Tri State Health Systems

  dba Primemed Plus

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1578541546
  NPD (past)
• Preferred Emergency Specialists, Inc.

  • Emergency Medicine Physician
  • Connersville, IN
  • NPI 1730225194
  NPD (past)
• Preferred Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Connersville, IN
  • NPI 1326353236
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317427200000",
    "number": "1235137670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10663 LOVELAND MADEIRA RD",
            "address_2": "SUITE-279",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408965",
            "telephone_number": "513-244-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10663 LOVELAND MADEIRA RD",
            "address_2": "SUITE-279",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408965",
            "telephone_number": "513-244-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALI",
        "first_name": "ANNAPURNA",
        "middle_name": "JASTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loveland Massage Center, LLC
• Loveland Opco LLC (Loveland Care Center)
• Loveland-Symmes Fire Department Inc
• Lindsay Lovell, ADULT NP
• Kevin Ma, DMD
• Averie Maddox
• Heather Grace Maglalang
• Majestic Staffing Solutions Inc
• Malikabonu LLC
• McKenna Maloney

• Family Medicine Physician in Loveland, OH
• Providers in Loveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; 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.