Active NPI
Padmavathi Madathanapalli, MD
- Internal Medicine Physician
- San Leandro, CA
National Provider Identifier
1336253152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A80139
- Practice address
- 1532 150TH Ave
San Leandro, CA 94578-1823 - Phone
- (510) 351-6363
- Fax
- (510) 278-3757
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A80139 | CA | Primary |
Addresses
Primary practice location
1532 150TH Ave
San Leandro, CA 94578-1823
Mailing address
1532 150TH Ave
San Leandro, CA 94578-1823
Phone (510) 351-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80139 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayward Sisters Hospital | Past | Accepting new patients | |
| Bhupinder Bhandari MD Inc | Internal Medicine | Past | Accepting new patients |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| Gautam Pareek MD Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Internal Medicine Physician
- San Leandro, CA
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- NPI 1679523633
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- Internal Medicine Physician
- Fremont, CA
- NPI 1578274627
-
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648252800000",
"number": "1336253152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 150TH AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781823",
"telephone_number": "510-351-6363",
"fax_number": "510-278-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 150TH AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781823",
"telephone_number": "510-351-6363",
"fax_number": "510-278-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADATHANAPALLI",
"first_name": "PADMAVATHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2022-03-26",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A80139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.