Venkata Sasidhar Majjiga, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

036.127301 Issued in IL

Practice address

301 N 8TH Street, Siu School of Medicine, Pediatrics
Room 3A169
Springfield, IL 62794

Phone

(217) 545-7732

Fax

(217) 757-6488

NPI assigned

May 13, 2011

Sex

Male

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

Enrolled in IL

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1255623997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19676",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949676",
            "telephone_number": "800-331-2229",
            "fax_number": "217-757-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 8TH STREET, SIU SCHOOL OF MEDICINE, PEDIATRICS",
            "address_2": "ROOM 3A169",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62794",
            "telephone_number": "217-545-7732",
            "fax_number": "217-757-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJJIGA",
        "first_name": "VENKATA",
        "middle_name": "SASIDHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036.127301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127301",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra J Maillet, AUD
• Rahul Maini, DO
• Mainway Medical LLC
• Ryan Matthew Majcina, M.D.
• Sarah Graham Majcina, MD
• Lisa Majka, RN
• Dhruvi Sureshkumar Makhanasa, MD
• Randy Dale Malan, R.PH.
• Julie A Maley, CNP
• Brennan Malham, PA-C

• Neonatal-Perinatal Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Neonatal-Perinatal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.