Durga Maddineni, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

227095 Issued in NY

Practice address

4543 43Rd St
Sunnyside, NY 11104-2609

Phone

(718) 392-2220

Fax

(718) 392-1777

NPI assigned

Jun 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NY

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

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• 43Rd St Family Practice PLLC

  • Family Medicine Physician
  • Sunnyside, NY
  • NPI 1194830265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548209943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 43RD ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042609",
            "telephone_number": "718-392-2220",
            "fax_number": "718-392-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 43RD ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042609",
            "telephone_number": "718-392-2220",
            "fax_number": "718-392-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDINENI",
        "first_name": "DURGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462119",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Lieto
• Little Friends School Sunnyside Inc.
• Thomas J Lorio, LCSW
• Alicia Cecilia Cecilia Lozano Medina, RN
• Carla Adriana Lucacel, M.D.
• Majestik Mobility
• Mala RX Inc
• Vivian Marana-Manchess, BCBA, LBA, CASAC
• Allison Marlett, LCAT, MT-BC
• Karin Martinez

• Family Medicine Physician in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.