Organization Active NPI

Kamal Addagatla Medicine PLLC

  • Plastic and Reconstructive Surgery Physician
  • Rye Brook, NY
National Provider Identifier
1609701481
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
KAMAL ADDAGATLA MEDICINE PLLC
Practice address
800 Westchester Ave Ste S512
Rye Brook, NY 10573-1369
Phone
(914) 800-1022
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Kamal Addagatla, MDNPI 1730522061
Title
Manager
Phone
(914) 772-5874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

800 Westchester Ave Ste S512
Rye Brook, NY 10573-1369

Mailing address

222 Purchase St Unit 338
Rye, NY 10580-2101

National Provider Directory

National Provider Directory

Locations

222 Purchase St
Unit 338
Rye, NY 10580

800 Westchester Ave
Ste S512
Rye Brook, NY 10573
Phone (914) 253-0700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1609701481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PURCHASE ST UNIT 338",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WESTCHESTER AVE STE S512",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731369",
            "telephone_number": "914-800-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL ADDAGATLA MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "ADDAGATLA",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-772-5874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.