NPIMap

Individual provider Active NPI

Diane Andaya Maddela, D.O.

  • Obstetrics & Gynecology Physician
  • Newport News, VA
National Provider Identifier
1588693287
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0102201865 Issued in VA
Practice address
401 Oyster Point Rd
Suite a
Newport News, VA 23602-6926
Phone
(757) 249-3000
Fax
(757) 269-4424
NPI assigned
Jul 3, 2006
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0102201865 VA Primary

Addresses

Primary practice location

401 Oyster Point Rd
Suite a
Newport News, VA 23602-6926

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061020000240 VA Practitioner - Obstetrics/Gynecology 9335145010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

401 Oyster Point Rd
Suite a
Newport News, VA 23602-6926
Phone (757) 249-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc. Obstetrics & Gynecology CurrentSince Nov 27, 2009 Accepting new patients
Riverside Physician Services Inc CurrentSince Nov 1, 2007 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Hospital Inc CurrentSince Nov 27, 2009 Accepting new patients
Riverside Hospital Inc Current Accepting new patients
Riverside Physician Services, Inc. CurrentSince Nov 1, 2007 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Riverside Hospital Inc Obstetrics & Gynecology PastSince Nov 27, 2009 Accepting new patients
Riverside Physician Services Inc Obstetrics & Gynecology Past Accepting new patients

Locations

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

10510 Jefferson Ave
Ste D
Newport News, VA 23601
Phone (757) 594-4720

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

12100 Warwick Blvd
Ste 202
Newport News, VA 23601
Phone (757) 594-4198

401 Oyster Point Rd
Ste A
Newport News, VA 23602
Phone (757) 249-3000

608 Denbigh Blvd
Ste 701
Newport News, VA 23608
Phone (757) 874-8696

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Interoperability endpoints

  • Direct secure messaging: dmaddela11474@direct.rivhs.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1588693287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OYSTER POINT RD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026926",
            "telephone_number": "757-249-3000",
            "fax_number": "757-269-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDELA",
        "first_name": "DIANE",
        "middle_name": "ANDAYA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102201865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.