Individual provider Active NPI

Kanaka Durga Paladugu, M.D.

  • Family Medicine Physician
  • Smithville, TX
National Provider Identifier
1508050949
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8232 Issued in TX
Practice address
605 NE 9TH St
Smithville, TX 78957-1025
Phone
(512) 237-2411
Fax
(512) 237-4833
NPI assigned
Aug 29, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8232 TX Primary
Family Medicine Physician 207Q00000X 0101242344 VA

Addresses

Primary practice location

605 NE 9TH St
Smithville, TX 78957-1025

Mailing address

PO Box 223
Bastrop, TX 78602-0223
Phone (512) 321-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8232TXMDFamily Medicine Physician
0101242344VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1508050949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786020223",
            "telephone_number": "512-321-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NE 9TH ST",
            "city": "SMITHVILLE",
            "state": "TX",
            "postal_code": "789571025",
            "telephone_number": "512-237-2411",
            "fax_number": "512-237-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALADUGU",
        "first_name": "KANAKA",
        "middle_name": "DURGA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8232",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101242344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.