Zenaida A. Maddela, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19314 Issued in KY

Practice address

1413 N Elm St Ste 206
Henderson, KY 42420-2767

Phone

(270) 826-9595

Fax

(270) 826-3656

NPI assigned

Aug 3, 2006

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

Enrolled in KY

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne Maddela Davis, A.R.N.P.

  • Family Nurse Practitioner
  • Henderson, KY
  • NPI 1255437463
  Medicare reassignment

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1487662011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 206",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202767",
            "telephone_number": "270-826-9595",
            "fax_number": "270-826-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 206",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202767",
            "telephone_number": "270-826-9595",
            "fax_number": "270-826-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDELA",
        "first_name": "ZENAIDA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "19314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193147",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lorey
• Lisa Lovell, FNP, APRN
• Pamela Kay Lowe, LICENSED OPTICIAN
• Deborah Kay Lynn, LPN
• Ricardo Barrios Maddela, MD
• Kyle R Majnarich, DMD
• Nicole Jeanne Makovic, FNP-C
• Bary Mana Malik, MD
• Lela K Marable, ARNP
• Angela M Maren, LMFT

• Internal Medicine Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.