Kala Sagar Madugula, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30022873 Issued in OH

Practice address

7610 Mentor Ave
Mentor, OH 44060-5411

Phone

(440) 975-9300

NPI assigned

Jan 22, 2009

Last updated

Jan 22, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakireddy Dental LLC

  • General Practice Dentistry
  • Mentor, OH
  • NPI 1295005411
  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1376781716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "866-273-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605411",
            "telephone_number": "440-975-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUGULA",
        "first_name": "KALA",
        "middle_name": "SAGAR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley L Macko
• Mackenzie Macwebb, OTRL
• James E. Macy, D.D.S.
• Christine Lee Madden, RPH
• Rachel Marie Madden, LISW-S
• John Robert Magerko, PBT(ASCP)
• Robert J Magro, MD
• Claudia Elizabeth Magyari, COTA
• Paige Mahaffey
• Nisha Maheshwari, DMD

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.